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� ENGINEERING / PUBLIC SERVICES <br /> J INSPECTION REQUEST <br /> rDate: -3-�Z-�3 Permit:f����--Q�4---- <br /> Project/Owner: C 1��E� �� _�I 5j _Z <br /> �" ,, " � --- <br /> Contractor._ !�+-I�/T /UFLI9'!/tr� _ _ _ <br /> Site Address:37_�d������_ _ _ <br /> TYPE OF INSPECTION REQUESTED <br /> � _ Sewer Systems � 1 Street/Road Base <br /> � i Storm Drain Syslems I Rool!Pooting Drains <br /> ( � Water Systems j__. Public Works Final <br /> L,./] Curb/Gutler./,Scidewalk p,r� ,-/ _..!�� <br /> y� Olher:_f/l� . �l�ri:rIC�_v✓.�l'"� . __ _. . <br /> (— APPROVAL i; PARTIAL APPROVAL <br /> [_i VIOLA710N � J CORRECTION REQUESTED <br /> I I Corrections listed below MUST BE MAD[ before work can be approved. <br /> I_ ] Please conlact inspecior and arrange lor appointment. <br /> (� Was not able to peAorm inspection. <br /> ' CALL(425) FOR REINSPECTION — 24 hour nolice required. <br /> .�✓�P�7a� .UO /SS(.c L�S <br /> w/7't/ - - Di s c f��u in.Y. Si7� _ ___ <br /> SU�ey,��� �jWza�, �-r/�� 7a <br /> _ ��9-T�f.� /���/ -�,ro u7� o�___ <br /> _ �9-�'��T /1/�c/rri,g�,J. �ST.. _ T�L. <br /> -- 7��l5 l.5. Sc!$T�T 7a _ <br /> - ryli.�ir+�'T�riN/N�_ �yii5�9-�-�il S�Lr <br /> .S��k lnJ C�'`�"`.`�iv�__C6�s�r� <br /> _-�j�E /7r5cF�2�lfc To _�� C.LE�-�✓�p <br /> --- �4'-T __�'�mf��7_Ztrt✓ o�-�jQ�7�eT--- -- <br /> ---- - --- --- -- -- - <br /> -- - - - - <br /> -- — -- - ----- --- <br /> . -- <br /> Inspeclor—_ ____��v�J--- --� _.Dale _ �� rz-'�� - <br /> EVSIR(6I04) % DAIABAR.INC. <br />