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� ENGlNEERING / PUBLIC SERVICES <br />"�' INSPECTI�N REQUEST <br />Date: �—I—II PermiC ���C�7—OQ� <br />Pro�ed / Owner �J <br />'� �7L i�v5%. <br />Coniractor: />�<�.' ��� d,� <br />Site Address: 9OI /�r�C (�E•✓L �/ �" <br />TYPE OF INSPECTION REOUESI [D <br />Sewer Systems Stree� / Road Base <br />Storm Drain Systems Root / Fooling Drain:, <br />Wa�er Systems Public Works Rnal <br />Curb / Gul�er / Side/wa�ik <br />�Other. �j,(/�'/e1—�� <br />APPROVAL <br />VIOLATIO.J <br />�'.QC-YEiti7�2 �Ai �/D� SE�v�� Z <br />PARTIAL APPflOVAL <br />CORRECTION R[OU[ST[D <br />Correclions lisled belo�v MUST �E MAD[ belure work can be appin�,�rd. <br />Please contacl inspec�or and arrange fo, appointmen�. <br />W;as not abic to perlorm inspeclion. <br />CAL� (425) FOR REINSPECTION — 24 hour notire reqwred. <br />Inspac�or <br />u_' o . <br />/�/ L1<<-� Dzle tJ'— I� I I <br />L�anpn,: �...0 <br />