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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date:7— / 1JPermit:U 3O -2` 013 <br /> Project/Owner: .A ,C„\ , C013 <br /> Contractor: <br /> Site Address: N33 317%_SE_. <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems • _ Street/Road Base <br /> Storm Drain Systems Roof/Footing Drains <br /> Water Systems - Public Works Final <br /> Curb/Gutter/Sidewalk <br /> Other: <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 /> E CALL(425) FOR REINSPECTION — 24 hour notice required. <br /> : Mr <br /> Inspect. Date <br /> EPSIR(6/09) DATABAR,INC. <br />