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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> g [v7 1 1 Iz11-©3% <br /> Date: Z —13 Permit: ier#3 f v/7'tom <br /> ‘-----/ U7 <br /> Project/Owner: / 41GUS%(6&7 .)) <br /> k11 <br /> Contractor: T/ E <br /> Site Address: /4-1/45;1--re: a (i Thy/or Dr <br /> TYPE OF INSPECTION REQUESTED <br /> , o� <br /> Sewer Systems K 1 ❑ Street/Road Base <br /> ❑ Storm Drain Systems Roof/Footing Drains ' ' -,c. <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 /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL(425) FOR REINSPECTION — 24 hour notice required. <br /> /(3/7 ,--",%/5_744L+69 5417S Alit5 7 <br /> Ade <br /> Inspector '' �J// Date z —1.7--'—1.3t' <br /> EPSIR(6/09) DATARAP INC <br />