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ENGINEERING I PUBLIC SERVICES <br />ENSPECTION !REQUEST <br />qwE-rr Date: �� I — /O Permit: P�D7 I I — 3 9 <br />Project / Owner: L, <,-Veiek — <br />Contractor: <br />Site Address: 151S <br />Q <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems <br />❑ Street / Road Base <br />❑ Storm Drain Systems <br />❑ Water Systems <br />❑ Roof / Footing Drains <br />Public Works Final <br />El Curb / Gutter / Sidewalk <br />❑ Other: <br />❑ APPROVAL <br />PARTIAL APPROVAL <br />❑ VIOLATION <br />CORRECTION REQUESTED <br />USLCorrections 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 />M-1-1a <br />EPsia (eroo) <br />