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�� <br />�� �. <br />I <br />�_,_ <br />��: - <br />�, � -- <br />� <br />� ., <br />Project / Owner <br />Contractor: <br />�f��w��f������ d ������: ������.i�:� <br />INSP�C'�'I�N REQUEST <br />Date: ��� �`� �' Permit: ��� ���� 5— Q 3�' <br />�[R(� � <br />Site Address: % .�j ('j7 kpS,S�� �.'l � <br />TYPE OF INSPECTION REQUESTED <br />'', Sewer Systems ', _', Street / Road Base <br />' Storm Drain Systems '' Roof / Footing Drains <br />' Water Systems Public Works Finai <br />' ' Curb / Gutter ! Sidewalk � j� , <br />�� 1 Other: ���G�S �f (.�l �� � lJ r �L� �� �.«Cy <br />-- __ t - . _. <br />�Q APPROVAL , PARTIAL APPROVAL <br />� VIOLATION ��, �, CORRECTION REOU� S-�U <br />� 1 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 />Inspec'tpr \ Date � � � � ^ I � <br />t:>sia <e�oa;~-_ i>n�n��iz. �rvc <br />