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Project / Owner: <br />Contractor.—!, <br />Site Address: <br />ENGGNEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date:! -�r�t Permit:,!/�� �� <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems <br />❑ Storm Drein Systems <br />❑ Water Systems <br />❑ Curb / Gutter / Sidewalk <br />❑ Other. _ <br />APPROVAL <br />VIOLATION <br />❑ Sireet / Road Base <br />(� Roof / Fooling Drains <br />�Public Works Final <br />[] PARTIAL APPROVAL <br />[� CORRECTION REQUESTED <br />L� Corrections lisled below MUST BE MADE before work can be approved. <br />❑ Please conlacl inspector and arrange for appointment. <br />'� Was not able to perlorm inspection. <br />�_ i CALL (425) FOR HEINSPECTION — 24 ho�r nolice required. <br />Inspector <br />EPSIR (6/�G) <br />DATABAR. INC. <br />