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ENGINEERING / PUBLIC SERVICES <br />Lr //INSPECTION REQUEST <br />Date7Of'g1Permit: <br />Project / Owner: <br />Contractor: ___ NAG/SOS s�7� <br />Site Address:��-5- <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems <br />i J torm rain ystems <br />❑ Water Systems <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />❑ street / Road Base <br />❑ Roof / Footing Drains <br />E J Public Works Final <br />APPROVAL Ll PARTIAL APPROVAL <br />LJ VIOLATION ❑ CORRECTION REQUESTED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL (425) _ _ FOR REINSPECTION — 24 hour notice required. <br />j✓j] c�lX�e ivy <br />InspectorCL� �. <br />EPSIR (6/09) f.� DArABAR. INC. <br />