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ENGINE�RING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> DatesO-..3�' PermiL_ <br /> Praject /Owner. %�J����- <br /> ,� , i <br /> Contractor: <br /> Site Address: Z,7��1���-f-�� <br /> TYPE OF INSPECTION REQ!'�STED <br /> ❑ Sewer Systems ❑ Street/Road Base <br /> ❑ Storm Drain Systems _ <br /> ❑ V:ater Systems `� ub�Ic Works Final <br /> ❑ Curb/Gutter/Sidewalk <br /> ❑ Othec <br /> APPR:;JAL ❑ PARTIAL APPROVAL <br /> VIOLATT� ❑ CORRECTION FEOUESTED <br /> ❑ Corrections listed 6elow MUST BE MADE belore wc•k can be approved. <br /> ❑ Please contact inspecror and arrange for appointment. <br /> ❑ Was not able to perforni inspeclion. <br /> ❑ CALL(425)_ FOR REINSPECTION - 24 hour no�ice required. <br /> �"�� -� - ---�'���'�-� <br /> Inspector����_�_.1l .e���� <br /> � EPSIR(6/0G� / DAiABAR,INC. <br />