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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date - 6/ f z Permit ViL(jG " O33 - <br />Project / Owner: - <br />Contractor: --- <br />Site Address: _ y{J1fl-V� - - - <br />Sewer Systems <br />Storm Dram Systems <br />Water Systems <br />Curb / Gutter / Si <br />Other: _ _ <br />TYPE OF INSPECTION REOUESTED <br />1 Street / Road Base <br />Root / Footing Drams a25 • 70_ Ci3E0 <br />Public Works Final <br />Innk <br />)KAPPROVAL J PARTIAL APPROVAL <br />C VIOLATION ❑ CORRECTION REOUESTED <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--.�7_.I�(Ci=.lefr - ------Date-- <br />EPSIR rmovt !` DAIABAP. INC <br />