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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: Permit: VIAJ I ([CA --G/ cA,_ <br />Project / Owner: 11 COGf,S✓ <br />Contractor: <br />Site Address:_ �d� 'Z J�l r 04, <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems ❑ Street / Road Base <br />Storm Drain ystems ❑ Roof / Footing Drains <br />❑ Water Systems ❑ Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ 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 <br />EPSIR (6/09) DATABAR, INC. <br />