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GINEERING / PUBLIC SERVICES <br /> / i°4''' mr—',.... .-+ ,""):4 , INSPECTION REQUEST <br /> Ae\tkibU gate: _h I Permit:CA Sv <br /> - 6©a* <br /> Proje. /Oi • -r.- <br /> Contractor:--- kg + <br /> Site Address:102 Z li2 W__ <br /> TYPE OF INSPECTION REQUESTED <br /> XSewer Systems Street/Road Base <br /> Storm Drain Systems Roof/Footing Drains <br /> Water Systems _ Public Works Final <br /> Curb/Gutter Sidewalk <br /> Other: 1h.-- <br /> )/ APPROVAL PARTIAL APPROVAL <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 /> 7 CALL(425) _ FOR REINSPECTION — 24 hour notice required. <br /> Inspecto��`..0--A:r-- Date °"") . )—15 <br /> EPSIR(6/09) DATABAR.INC. <br /> 3 <br />