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r <br />g� <br />f;,,,- � ������,��1��=��a���,f� ;� �u"����i� �`��m'������ <br />` �� - - ` <br />_ ��-- <br />INSPECTION REQUEST <br />Date: Gi`' �✓�'.� Permit: �w ��d � J�� <br />Project / Owner: <br />Contractor: <br />Site Address:� ��� �/�Y a'�_ <br />TYPE OF INSPECTION RE(�UESTED <br />Sewer Systems Stre t/ Road Base <br />Storm Drain Systems o0 ooting Drains <br />Water Systems Public or s inal <br />Curb ! Gutter / Sidewalk <br />Other: <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 <br />�-.� ; � �� ' �" <br /><.� �� - - ---- <br />Date � �� %� <br />i ���ni+ni: �rd� <br />