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�__ _, ENGINEERINC / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: 3 ZS—/OPermit: ���03 -Oz�6 <br /> Project/Owner: /�/�'�`/s9i�'/.� �/�7M/�/ <br /> Coniractor: �/��C/��� ��`���lsri�'/�f <br /> Site Address: 6�Z� T�LL'� �'�� <br /> i TYPE OF INSPECTION REQUESTED <br /> Sewer Systems Street/Road Base <br /> torm rain Systems Roo�/Footing Drains <br /> � Water Syatems Public Works Final <br /> Curb/Gutter/Sidewalk <br /> Other <br /> APPROVAL PARTIAL APPROVAL <br /> CORRECTION REGUESTED <br /> Correr.tions listed below MUST BE MADE before work c2n be approved. <br /> Please coMact inspector and arrange for appointment. <br /> Was not able �o pertorm inspection. <br /> CALL(425) FOR REINSPECTION — 24 hour notice requ�red. <br /> .S",Z� S��r/� .�//c S.s�T�'�3=��C=X�/ � <br /> � <br /> _ — — I <br /> Inspectoi C-G�/� ���� Date _ 3—Z�—'�d _ <br /> p otiR�,6�Po�� DAiNdAq.MC. <br />