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ENGINEERING / PUBLiC SERVICES <br /> INSPECTION REQUEST <br /> Date:__���,C�—/_2 Permih_�(il�_lo���=UU-� _ <br /> Project/Own�r: — _ _ __ <br /> Contractor. _ __—_ _ <br /> SiteAddress:_.�Q�!_/_ F✓�f�/_�PN_�_ <br /> TYPE OF INSPECTION REQUESTED <br /> I Sewer Systems i � Street/Road 6ase <br /> I 1 Storm Drain Sy�tems I_� Fwof/Footing Drains <br /> i i Waler Systems I I Public Works Final <br /> ] Curb/Gutter/Sid wal r1 T !1 ��J L ,/ <br /> � ��,os--�. ----I.JClJ1u4 IILY�Vp_ (.NJ'��r_��4tr_•-�i <br /> � ] Other: _ <br /> APPROVAL ! PARTIAL APPROVAL <br /> ' ' VIOLATION ! ,; CORRECTION REQUESTED <br /> ! Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please conlact inspector and arrange for appoiniment. <br /> � Was not able to perform inspection. <br /> `, ] CALL(425)___ ___ FOR REINSPECTION — 24 hour notice required. <br /> � f <br /> —�I��%Y„�—� � ,L—/� `! � <br /> Inspector Date <br /> EPSIR(C/W) DAiABAR,INC. <br />