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ENGINEERING / PUBLIC SERVICES <br />CLM� INSPECTION REQUEST <br />Date: 2 —v )"Permit �C'U // C %' C) Zc—, <br />Project / Owner: <br />Contractor: <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street / Road Base <br />Storm Drain Systems Roof / Footing Drains <br />Water Systems Public Works Final <br />Curb / Gutter / Sidewalk <br />Other: <br />APPROVAL PARTIAL APPROVAL <br />VIOLATION CORRECTION REQUESTED <br />Corrections listed below MUST BE MADE before work can be approved. <br />L ! Please contact inspector and arrange for appointment. <br />_ Was not able to perform inspection. <br />CALL (425) _ FOR REINSPECTION — 24 hour notice required. <br />Inspector----'?-Z _Date <br />[PSQ (6109) DATABAR. INC. <br />