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. � -� ENGINEERING / PUBLIC SER\/ICES <br /> _ ' INSPECTION RE6IUEST <br /> Date: _'-��_B -l�ermit:����-L1 "_n 7J <br /> Project /Owner_��.��/'�_-_. - - -- -_---- <br /> Comractor._ __ /�"/9__�G��_ <br /> Site/lddress:_%�d z G�G/�y ____- _ _ _ <br /> 1"YPE OF INSPECTION REOUESTED <br /> _. Sewer Systems �] Street/Road Base <br /> i_ I torm Drain ys�ems ❑ Rool!Footing Drams <br /> [] Water Systems ❑ Public Works Final <br /> ❑ Curb/Gutter/Sidewalk <br /> � � Other <br /> � � APPROVA � P�RTIAL APPROVAL <br /> L VIOI.ATION [� CORf�[CTION REQUESTED <br /> C Corrections listed betow MUST DE MADE- be'ore work can be approved. <br /> ! � Please contact inspector and arrange lor appointmenl. <br /> ❑ Was not able to perlorm inspection. <br /> �_� CALL(425) . FOR REINSPECTION — 24 hour notice requrted. <br /> T.�'.�'e,�l�/!� _1/�1/G= /�1S�7f1�� <br /> -- --�-T1S��7vi�� -- -- <br /> Inspeclor C'��/���_.���/��7�%Y ���',�,�`�� <br /> tvs�n�elaei oniaoaa �r�c <br />