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r. � ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date:j—z3�Z Permit: <br /> Project/Owner: C� ��S <br /> � r rr <br /> Contractor. � l <br /> Site Address: ��/��0 �����'F�� �� Y <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems Sireet/Road Base <br /> Storm Drain Systems Ro <br /> . Water Sysloms u ic or s in <br /> Curb/Gutter/Sidewalk <br /> Olher: _ . . . . - . - - - - <br /> APPROVAL PARTIAL APPROVAL <br /> VIOLATION CORRECTION REQUESTED <br /> Corrections listed below MUST BE MADE before work can be approved. <br /> Please contact inspector and arrange (or appointment. <br /> Was not able to perforr.i inspection. <br /> CALL(425) _ FOR REINSPECTION — 24 hour notice required. � <br /> � � /r�'o -- - _ �'7s;±��' _ <br /> Inspector��/��/�� ---Date /-+1.3'�� <br /> [vsiR ceiov� D�7ABAR.INC. <br />