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� ENGINEERING / PUBLIG SERVICES <br /> INSPECTION REQUEST <br /> Oate:.0�/�/--���Permit: �����'—��`�' <br /> Project/Ownepr: _ �J _ J'� � _ — — <br /> Contrador.__Q�Ir�"��_�-�rl/ST __.___— <br /> Site Address��O�C��_7�Lt��---_ — <br /> TYPE OF INSPECTION RE�UEST D <br /> ❑ Sewer Systems � 1 Street 1 Road Base <br /> ��Storm Drain Systems ❑ Roof!Footing Drains <br /> ] Water Systems ( ] Public Works Final <br /> [] Curb/Gulter/Sidewalk <br /> ❑ Other. — ----— - — -- -- — <br /> ; � APPROVA� j� PARTIAL APPROVAL <br /> (� VIOLATION CORRECTION REQUESTED <br /> � ' Correclions lisled below MUST BE MADE be�ore work can be approved. <br /> l_.I Please contact inspector and arrange for appointmenl. <br /> L] Was not able to perform inspection. <br /> �_1 CALL(425) _ FOR REINSPECTION — 24 haur notice required. <br /> ----- — <br /> _ �,_-Gv��T�- '�-2--�ccSr_ _ �� <br /> _e�'��_ v-���c-2•'-I s�� -- <br /> _��Oil 1�50_.�rllL�� -�� — -- — — <br /> - -=�krs�__/yl,e-,r_/��� �'�'� <br /> - -��-�-�� �s�— <br /> —,c��_ — <br /> Inspector �`i���� Date �^/�—` — <br /> 7� DAfAflAF.INC <br /> fPSIR(E!�) V <br />