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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> 1 <br /> Date: /S 710 Permit: <br /> Project/Owner: <br /> Contractor: /44 <br /> L <br /> Site Address: <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems Street/Road Base <br /> 1 Storm Drain Systems i Roof/Footing Drains <br /> Water Systems ❑ Public Works Final <br /> Curb/Gutter/Sidewalk <br /> Other: <br /> APPROVAL PARTIAL APPROVAL <br /> 1 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 /> Ile <br /> Inspector Date <br /> EPSIR(6/09) DATABAR,INC. <br />