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�� � ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date:/�q/Z Permit: ����/G 7-O� -- <br /> Project/Owner. ����G� f'�?j'�'`/�'cQ�_S' <br /> Coniractor. �1.�/✓ �r,�' <br /> Site Address: ���� �/f1i� �-�ur �� <br /> TYPE OF INSPECTION REQUESTED <br /> Sewcr Systems Street/Road Base <br /> Storm Drain Systems Roof/Footin <br /> Water Systems � ublic Works Final <br /> Curb/Gutter/Sidewalk <br /> Other: <br /> APPROVAL PARTIAL APPROVAL <br /> A I CORRECTION REQUESTED <br /> Corrections lisled below MUST BE MADE before work can be approved. <br /> Please contact inspector and arrange for appointment. <br /> Was not able lo perform inspection. <br /> CALL(425) __ _ FOR REINSPECTION — 24 hour notice required. <br /> 5� i� - -- '-`�� <br /> ���o� l'l,��<�_�/ s�/2 _ <br /> ersut ceiw� DATRDAR.INC. <br />