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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: /—/O Permit: i��O7I1-03g <br />Project /Owner: UPJP <br />Contractor: <br />Site <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems ❑ Street / Road Base <br />❑ Storm Drain Systems ❑ Roof / Footing Drains <br />❑ Water Systems Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: _ <br />❑ APPROVAL PARTIAL APPROVAL <br />❑ VIOLATION LJ 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 (0109) <br />/d-l-la <br />DATABAR. INC. <br />