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ENGINEERING / PUBLIC SERVICES <br /> '�r' INSPECTION REQUEST <br /> ��d�� _ -, <br /> oa�e `� -�s ;c_� Pormi� !� /G� `l �- /7� <br /> {'io�r�r.t /Owner ��iL����� <br /> Con�rac�or. C'���/ /����,�i�/Q <br /> l'.S�9Df"C <br /> �;�t�� Address l'l!!3✓i'C /.��,G�`- '���''��C� � .!s'�//U� <br /> 1vPE OF INSPFCTION R[OU�-SIED <br /> �,i�;ewer SVstems � Slreot 'Road Base <br /> `:,lorm Drnin Sys�ems Rnol/Focliny Drams <br /> Wa�er Systems Publir.Wnrks finai <br /> Curb I GuUer/Sidr.wa�k <br /> Other <br /> f�PPROVAL P�RTIAL APPROVAL <br /> VIOLATION �� • � ESTED <br /> Currec�ions listed below MUST BE MADE belore work r,;v� be approv�ad <br /> Ph�Flse contacl inspeclor anA arrangr. lur appointmonl <br /> Was not ablc to perlorm inspec6on. <br /> CALL(425) FOR REINSPECTION — 24 how nolir,e required. <br /> -�;�/ %�Lz— i/c/ /y-'/`/� /—/l�5 7'_ <br /> '�7 �"�`_ os= � " s��.�/c�Y` <br /> I � �/ �yl��'j Ci�? / i <br /> /' / p� Q <br /> Inspeclnr ! �/��L''_i%����'//,�' � � `��f <br /> � .. . .i VM�HAB MC <br />