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ENGINEERING / PUBLIC SERVICES <br />CL INSPECTION REQUEST <br />Date: --It -�SPermit: PW 13 � <br />Project / Owner: 7'_ ��_%���_y� <br />Contractor: <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />0000urb <br />wer Systems ❑ Street / Road Base <br />ormDrain Systems ❑ Roof / Footing Drains <br />arSystems ❑ Public Works Final <br />/ Gutter / Sidewalk <br />❑ Other: A7`__�/�_ <br />P?IPPROV—AL ❑ PARTIAL APPROVAL <br />[J 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 />Inspector <br />EPSIR (6/09) INC. <br />