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a <br />ENGINEERING / PUBLIC <br />` i 7 <br />_ INSPECTION <br />Date:_ permit: <br />Project / Owner: Z1 -/,E7z en> <br />Contractor: — <br />Site Address: /17 D —2-- <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems ❑ Street / Road Base <br />❑ Storm Drain Systems <br />❑ Roof /Footing Drains <br />❑ Water Systems Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />31 APPROVAL ❑PARTIAL APPROVAL <br />IOLATION ElCORRECTION REQUESTED <br />I I 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 C� <br />EPSIR (6/09) <br />ATA AR, INC. <br />