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J <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />D ® ?f I z-oal <br />Date: 0 Permit: ® �e-�LA ®� <br />Project / Owner: /�` - -z- <br />Contractor <br />Site Addres <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 />K 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 />❑ CALL (425) FOR REINSPECTION — 24 hour notice required. <br />EPSIR (6/09) <br />DATABAR, INC. <br />