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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date:—ZQ-/ '�PermiU I-W(Z\0-066 <br />Project / Owr <br />Contractor: .—/,L <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer S stems ❑ Street / Road Base <br />Storm Drain Systems ❑ Roof / Footing Drains <br />I ] Water Systems ❑ Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />n Other: _ -- <br />APPROVAL ] PARTIAL APPROVAL <br />VIOLA ON [ CO-HECTION REQUESTED <br />❑ Corrections listed bctow 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 />GaS�— <br />�,�//�i15� <br />Inspector. <br />EPSIR (6109) <br />DATABAR. INC. <br />