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� � <br />; <br />:, <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: �"Z`��ermit: �W/S�� ' 0�� <br />Project / Owner: �7if��/,�� .�/�L���� - <br />Conlractor: _. __Ol�/���� — -- <br />Site Address:_✓���� .(�� ������ <br />TYPE OF INSPECTION REOUESTED <br />I� Sewer Systems Street I Road Base <br />I'. Slorm Dram Systems Roof I_Foo.hn Orains <br />'_ Water Sy5tem5 �ubliC WOrks Finat �'� <br />' Curb / Gutter / Sidewalk , <br />� O�her ... ... ___ _______ . <br />_� PAF7TIAL APPROVAL <br />� I CORRECTION REOUESTED <br />� Correcuons listed below �dUST BE �dADE before work can be approved <br />�� Please contact inspeclor and arrange br appuintment. <br />� Was not able to perform inspection. <br />'� CALL (425) __ _._.__ . FOR REINSPECTION — 24 hour noticc roquned. <br />��r.�,� �nl.�_—V�/P_si�//fC-'2; - -- _ <br />��✓S7-��� _ .����' ..��'.r'� ��J <br />_r��ii'� ��'�--`� -o� � s`' <br />InspectorL��� _L���.���'^"�—/ _.�� —/ �1 <br />F�°yi¢lGO.^1 � J�� I�n�....._u M. <br />� � <br />