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4LLENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: S=Z%SPermit: UI S�✓_' /2-3 <br />Project / Owner: <br />Contractor-_ <br />Sle Address: <br />TYPL: OF INSPECTION REQUESTED <br />Sewer System StrCet I Road Base <br />L _ Sid m Dram Systems D Root / Footing Drams <br />LI Water Systems J Public Works Final <br />[_ Curb / Gutter / Sidewalk <br />❑ Ottter <br />/� PPROVAL ❑ PARTIAL APPROVAL <br />VIO ❑ 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 />Inspector <br />EPSIR (6109) / DATABAR. INC. <br />