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._�. •. .• • _.Ir :r..Y: . . <br />� ENGINEERING / PUBL.IC SERVICE� <br />'� INSPECTION REQUEST <br />�l�SO�%/ -� <br />Date: � � —_ ermit: _ _ _� � _ <br />Pr0 eCl / Ow�dr � . -----� — <br />i ,l�-'c_S�` ,. . <br />ConiraGoc__ ��`�C� --- -- <br />SiteAddress:__���- --���— -- — <br />TYPE OF INSPECTION REQUESTED <br />�__! Sewer Systems f� Street / Road Base <br />%i Stonn Dram Systems i- I Roof ! Foot�ng Dra�ns <br />[ I Water Systems � Pub6c Works Final <br />�j Curb I Gutler / Sidewalk <br />�_� Other�. --. _- ----- - �- <br />� APPHOVAL [;PARTIALAPPROVAL <br />� �, VIOLATION ❑ CORR[CTION HEQUESTED <br />� Coirections listed below �dUST BE MADC- before v�o�k can be approved <br />� Piease contact �nspeclor and arrange for appoinlmeN. <br />�.) Was not able to perform inspec6on. <br />. I CALL (425) _ . FOR REINSPECTION — 24 hour no��cc required. <br />,C�����i✓��'`""�" �il'��"�'�- <br />_ _ �'� S�� �'�l� _����r'�`�� <br />, <br />InsPectnr ___ _t�__ -�_� � Date S_� �� <br />/___.. � ��:.:.,:. . <br />� ____._ �..__ . -_ . . .. �...-�_ . <br />..,.� -� ....a.....,....... .Us:������.;iioi"•.wi"r:_'Y�.•::a.�:a,W tn".'-i:"!z ,...fSr> "1�n.;.u.syE»�.ed <br />