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AmG MF,,,, - , ,t u. . <br /> z� <br /> Date: 3 rn�i r IlU i 5 04 -0 f <br /> Project ! Owner: <br /> r: <br /> Contractor: _ <br /> Site Address: ._ _.. :.:_ . _ .. <br /> 7 <br /> TYPE C3 ' ENSPCT6C)N REQUESTEC? <br /> Sewer Systems Street / Road Base <br /> Storm Crain Systems Roof / Footing Drains <br /> Water Systerns Public Works final <br /> Curb / Gutter/ Sidewalk <br /> Other: .. . <br /> APPROVAL. PARTIAL, APPROVAL... <br /> j. V!G!_ATiC)N (",ORF;lw.:C ION REQUESTED <br /> 1.orrf coons listed below MUST BE MADE oio€e \A,ork E <br /> Please contact inspector and arrainge icer appointi-nent. <br /> Was not able to perform in,�nec;tior . <br /> CALi- (425) FOR <br /> 1/74? . <br /> n <br /> Inspector _. .». date <br /> EPs!R (6/09) DAI'ARAR. !NC. <br />