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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: �1�^1-57Permit: <br /> Project/Owner: <br /> Contractor: <br /> Site Address: '�j- 2Z�' L�•ry /� <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems i Street/Road Base <br /> Storm Drain Systems _' Roof/Footing Drains <br /> Water Systems Public Works Final <br /> Curb/Gutter/Sidewalk <br /> Other: <br /> APPROVAL PARTIAL APPROVAL <br /> (,*VIVIOLATION 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 /> D� r71; <br /> Inspector Dateot <br /> �1�r/ <br /> EPSIR(6/09) I)AWMR,IN( <br />