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Date: <br />Project Owner: <br />Contra6tor: <br />z <br />Site Address: <br />TYPE OF INSPEC <br />ewer dams —- <br />-Storm Drain Systems <br />G I PURLM SER.M098 <br />11710N REQUEST -i <br />Permit: <br />rION REQUESTED <br />Street I Road Base <br />Roof /Footing —­ <br />ni <br />Water systems ipublIeWorks Final <br />❑ Curb I Gutter 1 Sidewalk <br />❑ Other: <br />APPROVAL PAR-171AL- AP P ROVAL <br />R �()VZ <br />VIOLATION 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 />