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, �er-. • ' -.ti..a...�- _-r �' J . .. " ' ' '__ " -- <br /> -> ENGINEERING / PUBLIC SERVICES <br /> � INSPECTION REQUEST <br /> ' Date:l�Z�-�ermit: _ _ — _ — <br /> Project/Owner._/�/StL,f�/_Y��Vs�y_ _ -- <br /> Contractor:_. _ _�G✓NEJZ _ __ _ _ <br /> Site Address:. ��'g_!_���i�/�/il _ _ <br /> TYPE OF INSPECTION REOUES fED <br /> I Sewer S stems [ Sireet/Road Base <br /> Storm Drein S stems �] Roof/ Foming Drains <br /> Water Systems [i PubGc Works Final <br /> r_] Curb/Gutter/S�dewalk <br /> ❑ Otnec - ---- - ------- --- <br /> � � APPROVAL i� PARTIAI APPROVAL <br /> � VI ON ; � CORR[CTION REOUESTED <br /> �_� Correchons listed below MUST 6E MADE before work can be approved. <br /> ❑ Please contacl inspecto� and arrange lor appointmem. <br /> �.� Was not able to perform inspection. <br /> I CALL(425) __ _ FOR REINSPECTION — 24 hour nouce required <br /> /_Z_�o�/�i_t/l�__�.�7_�/.��1�1_2.i31/�-- <br /> �"�O_L,/.y1J_ �� _P���'�_�,��_siRCd_c`�"l'/_�Z <br /> /N.S_T_l�LG�,l�_ -s�s`.r/5�.3�fi�llJ _y- - - -- -- <br /> Inspeclor��_�����i!�� _ ate _�_�"'�'�_/3 <br /> EPSiR(b/OV) UAIABtiR,INC. <br />