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� � ENGINEERING / PUBLIC SERVICES <br />��-; INSPECTION REQUEST <br />P� ��o€-Uo5 <br />� ---- -- � <br />Date: � -�- iu PenniL _ __ _ <br />Projecl / Owner: _. ____ _ _ _ <br />v- - - — - D-6_ - ---- <br />Contractor _ �.�i_ �%'f � � . _/�%A' ��� <br />-- -�^ ,/ - - - ----- -- <br />Site llddress: __� ��_C-G,+ _�� �._ _ . __ ____ <br />TYPE OFINSPECTION REOUESTED <br />��] Sewer Systems (J Sirect / Road Basz <br />� Slorm Drain Systems ❑ Rool / Foating Drams <br />�_� Water Systems �] Publlc Works Rnal <br />�� ] Curb / Gutter / Sidewalk <br />(� otner:_ _____ <br />:� APPROV�L <br />� � VIOLnT10N <br />� � P�RTI�L APPROV�L <br />[-! COHHECTION REQUESTFD <br />❑ CorteUions iisted below MUST B[ MAD[ belore work can be approved. <br />� 1 P�ease wniac� mspeaor and arrange ror appomimr.nt. <br />[ � W.�s not able to perform mspeclion. <br />`.�� CALL (425) __ FOR REINSPECTION - 24 hour notice requ�red. <br />— -� �/f%'F�`�,_ _ � �'�° � ��t.% �'—� - <br />�1 _,,���£�� �.�TfS���Lt� - - - <br />-- �,�_-Tt' ,��c=/%���—. -- <br />-� � — <br />IIIG�IP.f.Ifll ��F�`-��/F _ f(f4' � <br />�;,,.��� �,,��;�, �. <br />o�i� _ 2-' �('� -F5' <br />�,;.��;,., ��:, <br />