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z <br /> ENGINEERING / PUBLIC SERVICES 7 <br /> INSPECTION REQUEST <br /> D e: l Permit: �! —C ! Q65 <br /> Project/Owner: c�r� �� G( <br /> Contractor: <br /> Site Address: <br /> TYPE OF INSPECTION REQUESTED <br /> SSewer Systems i_ Street/Road Base <br /> Storm Drain Systems Roof/Footing Drains <br /> Water Systems Public Works Final <br /> Curb/Gutter/Sidewalk / / <br /> Other: JUC, <br /> I APPROVAL I 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 /> cc�l -4e way b wAA�- <br /> -5e 7M <br /> Inspector Date <br /> EPSIR(6/09) DATABAR.INC. <br />