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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: /Q -_T-- <br />Project / Owner—"—��`�"r`r <br />Contractor: J Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street / Road Base <br />Storm Drain Systems Root / Footing Drains <br />!Water Systems Public Works Final <br />Curb / Gutter / Sidewalk <br />Other: <br />I� 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 />Date <br />DmARAR. INC. <br />