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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date:1---z4 —IS Permit: IV/-570 2'^®.3Z_ <br /> Project/Owner: <br /> Contractor: <br /> Site Address: 1�� - - - - <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems Street/Road Base <br /> Storm Drain Systems Roof/Footing Drains <br /> Water Systems 1 Public Works Final <br /> Curb/Gutter/Sidewalk ?,� <br /> Other: 5�kT'e y� -�f�7��� OG>CC✓� <br /> 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 /> Inspector Date '7— <br /> pS <br /> EPSIR(6/09) DATABAR,INC. <br />