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� <br />l> >, a.� <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTIaN REQUEST <br />�i �7 �/�go�_ o/q <br />Date: l""G��'¢Permit: __ ___ ✓_— <br />Project / Owner. -_��rT��'S%�Cf�- _ -_�/���<c. - - - -_ -.-- <br />Contractor. _ _ _ /w�I� --.- . - - �-- ---- -- --- <br />Site Address:__ �'�� ����/�/�� /�'Y�------ <br />TYPE OF INSPECTlON REQUESTED <br />wer S stem L� Street / Road Base <br />torm Drain Systems ❑ Rool / Foo�ing Drains <br />�] Waler Systems � � Public Works Final <br />L Curb / Gulter / Sidewalk <br />Li Othec _. __ - ---- -- _ - - -- <br />, APPROVAL ❑ PARTIAL APPROVAL <br />I N ❑ COFRECTION REQUESTED <br />�� Corrections lisled below MUST BE MADE bebre work can be approved. <br />�__� Please coNact inspector and arrange for appoinlment. <br />❑ Was nol able to pertorm inspeclion. <br />[. � CAIL (425) ..__._ ___. FOR REINSPECTION - 24 hour notice required. <br />S/I_�� S��'���-_/�'z�/T -- - — <br />_ �t,�� . ��I�sr`�T� <br />Inspeclor `������ _ �.�/�7� <br />IPSIR IA/�141 <br />�--�__��_'-_` <br />Dp1nRAR. INf. <br />