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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date:6 14 /O Permit: __(fGs�1-Of5 <br />)roject / Own <br />Contractor: __ <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems <br />j i Street / Road Base <br />�� I Storm Drain System j <br />1- I Root / Fooling Drains <br />E Wafer Systems <br />_ Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />APPROVAL'1 <br />IOLATION <br />PARTIAL APPROVAL _ <br />_`"CO ION 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 />�it/ice .✓.�., GCS%"'_ S.X�i/5.== /�.r�4' <br />Inspector_C�/Y-=.,.,'-' - - Date <br />EPSIB (6109) <br />DATABAP. INC. <br />