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ENGINEERING 1 PUBLIC SERVICES <br />INSPECTION REQUEST <br />Wom ���. 4S' <br />Date. _ <br />ZZ " 0.3 �.FTT11T ' <br />Project / Owner: �`` t1`0.��eS'► <br />Contractor: _•� G Off/ N�.��/ <br />a Tim <br />Site Address: —.---- <br />QUESTED <br />rl wer S stems �Ty G�NSP❑ Str et / Road Base C <br />Storm Drain Systems :) ❑ Roof / Fooling Drains � I 0 <br />IJ Water Systems ❑Public Works Final <br />Curb / Gutter / Sidewalk <br />❑ Other: <br />APPROVAL ❑ PARTIAL APPROVAL <br />VIOLATION ❑ COPFIECTION 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 />Inspector C�s���„,f�--C_ <br />EPSIR (6109) WABAR. INC. <br />