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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date:�—ZO-l�rmi►:---pCJldD7��C�--- <br /> Project/Owner: �,�/v��_-�1�'�-��� --T�1�/� <br /> Contractor: __— .�_� /r ' �'_ _ <br /> _ -- -- <br /> - -- ---- --- -- - -- <br /> Site Address:_ �O/3z_ ��������G`�y <br /> TYPE OF INSPECTION REOUESTED <br /> Sewer Systems [_ � Street/Road Base <br /> Storm Drain Systems <br /> ', Water Systems , Public Works Final <br /> Curb/Gutter/Sidewalk <br /> i, I Other.__-. _-_- --- <br /> - <br /> APPROVAL I I PARTIAL APPROVAL <br /> LATION (.� CORRECTION REQUESTED <br /> I � Corrections lisled below MUST BE MADE before work can be approved. <br /> j ' Please contact inspector and arrange for appoiNment. <br /> I _� Was not able lo pedorm inspection. <br /> �_) CALL(425)_--_—_ _ FOR REINSPECTION - 24 hour notice required. <br /> S�� ��t�� --- —�— --- �—Y— <br /> Inspeclor C��G�� - - 8 J— �v^/� <br /> DAiABAR,ING. <br /> EPSIR(b/W) <br />