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. . � , _ .. , t , <br /> ENGINEERING / PUBLIC SERVICES <br /> J - INSPECTION R�QUEST <br /> Date:4—f�`��rmiL _�_/�Jp-�Q� <br /> Project / Owner:_��l/_/�����1����-� <br /> Contracror: <����GS —�L1�-�7� <br /> Site Address:�30��� ��� <br /> TYPE OF INSPECTION REOUESTED <br /> �f Sewer Systems � � Street/Road Base <br /> Ll Storm Dra�n Systems ❑ Roof/Fooling Drains <br /> ❑ Water Syslems ❑ Pubfic Works Final <br /> � _� Curb!Gutter I Sidewalk � <br /> ❑ Othec_ -- -- ----- <br /> ,_� APPROVAL LJ PARTIAL APPROVAL <br /> L� _ ` ; CORRECTION REOUESTED <br /> � � Corrections lisled below MUST BE MADE before work can be approved. <br /> ❑ Please contacl inspeclor and arrange lor appointment. � <br /> (_� Was noi abte to perform inspection. <br /> � _I CALL(425) ____ FOR REINSPECTION — 24 hour notice reqwred <br /> ��L'�`___�_!f�`�� �l//�� j�v�/tLl��- - <br /> - - --S�Is_�"J��� <br /> ,-` <br /> mspeccoF1'�j��L/�^yG%��"/�'-�'� —_ — <br /> EPSiR(e/OC) o.vnxnn inC <br />