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�- r� �- <br /> ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: IZ_�O_��z-Permit: �_ ZO Z —bI¢ <br /> Gf/__�---- <br /> Project /Owner> �Y�_ .�%�0_�C.S7 —�. } —_- _ -- <br /> Contractor.---" � /��jQ/7_/v_��1'7/gY" --__- <br /> /�,���--� --- <br /> Site Address:_CJ2G,fjL!l_�/N�__ ,��l"Gr� _ O�_ly��•�id..,, <br /> TYPE OF INSPECTION RE�UESTED J <br /> � Sewer Systems i_1 Streel/Road Base <br /> � ' Storm Drain Systems [� Rool/Footing Drains <br /> x Water Syslems i_; Public Works Final <br /> �`� Curb/Gulter/Sidewalk <br /> ` Other: <br /> 7CAPPROVAL ; � PARTIALAPPROVAL <br /> VIOLATION �; ) CORRECTION REOUESTED <br /> �! Corrections lis�ed balow MUST BE MADE before work can be approved. <br /> �'' Ptease contact inspector and arrange lor appointment. <br /> r Was not able to Ferlorm inspection. <br /> I i CALL(425) _ _ FOR REINSPECTION — 24 hour notice reqwred. <br /> �DL�- �ry;�D� _ �j2��n� .�_�� _ _ <br /> _�.5_Da �f-g � -- - <br /> _�/Ql�a s�a-��_ ,o,e��ss�� - <br /> — — T�si Z2S�� _� �►s��n,�dn� <br /> wi77� �t/o /�55u2.� � <br /> -------- --- - <br /> --- - - — �i�L/.J�-- - - �j ----- - <br /> Inspector _ �^��J���/�!v_ _` Dale _/L_II~'��-- <br /> E751�(e/o% � UAI4BAR.INC. <br />