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ENGINEERING /-PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: Permit: <br />Project / Owner:C1��1�/T <br />Contractor: <br />Site Address:__ _/4Z/ on f. ,' e Az; <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems 7D ❑ Street / Road Base <br />LJ—S—to—r rain Systems ❑ Roof / Footing Drains <br />❑ Water Systems ❑ Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />APPROVAL ❑ PARTIAL APPROVAL <br />IOL ❑ 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 />Inspector L Date <br />EPSIR (6/09) DATABAR, INC. <br />