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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: �� _-`___�Permit:_��I3'OLv �� <br /> Project/Owner: ' � __ - _ � • _ <br /> Conhactor._ __ �,` <br /> Site Address:__I3 l��R�D p ''�•_ ___ <br /> TYPE OF INSPECTION REQUESTED <br /> [ J Sewer Systems ❑ Sireet/Road Base <br /> � Storm Drain Systems ❑ Roof/Footing Drains <br /> (^I Water Systems �Public Works Final <br /> [' Curb/Gutter i Sidewaik <br /> / � <br /> [� Other. — — - - - ---- <br /> APPROVAL [] PARTIALAPPROVAL <br /> �J VIOLATION [ CORRECTION REOUESTED <br /> L� Corrections listed below MUST BE MADt before work can be approved. <br /> �� Please contact inspector and arrange for appointment. <br /> �; Was not able to perform inspeclion. <br /> �_� CALL(425)__._- FOR REINSPECTION — 24 hour notice required. <br /> Inspector `����� _Date O r�Jl — <br /> � <br /> E�SiR(0/OD) DAIAUAR,INC. <br />