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,.,.. <br /> ENGINEERII�iG / PUBLIC SERVICES <br /> INSPECTIOPI REQUEST <br /> Date:_�O-�✓Permii:_U_(�_O_3—Q_�_ <br /> Project/Owner: -- --------_-- <br /> Contractor. �Q /� --- <br /> Site Address:�v[—Y� _ _�—r� f B2.(�_ <br /> TYP[OF INSPECTION REOUESTED <br /> L] Sewer Systems ❑ Street!Road Base <br /> L] Slorm Drain Syslems ❑ Roo(/Footing Drains <br /> �__� Water Systems ❑ Public Works Final <br /> �� Curb/Gutter/Sidewalk <br /> ��O�her: __._ _ —_ <br /> n APPROVAL [� PARTIAL APPROVAL <br /> [� VIOLATION � C6RRECTION REQUESTED <br /> ( Corrections listed below MUST BE MADF uelore work can be approved. <br /> �] Please contact inspector and arrange lor appointment. <br /> ❑ Was not able to perlorm inspection. <br /> ❑ CALL(425)____ _ FOR REINSPECTION — 2A hour notice required. <br /> - - ----- --- ---------- - - ------ -- <br /> -----��--�'i-5n�/-�-5,9_��T�_5�62 <br /> Ins ector ��N� --�� _ _Oa�e �_� �..._ <br /> P ^ <br /> ersie ce�ov� �YL �Z�33¢—�To� D/1I�flAH,INC. <br />