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ENGINEERING / PUBLIC SERVICES <br />CL INSPECTION REQUEST <br />T -' <br />Date: 4-!8-'/Z Permit:�_�1 i�GQ2— <br />Project /Owner: <br />Contractor: <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems ❑ Street / Road Base <br />❑ Storm Drain Systems ❑ Roof / Fooling Drains <br />❑ Water Systems ❑ Public Works Final <br />El Curb ! G()t(er / Sidewal <br />,P�-O <br />Cher: y _ r <br />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 />I <br />i <br />I <br />i <br />Inspector <br />EPSIR (6/00) <br />Date l3� I2 <br />DATABAR. INC. <br />