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; <br />.-J <br />J <br />T <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />�j--27 I4' Permit: _/_W /�t7 Z— �O 3 <br />Date.,_. _ _ p _ __ — <br />Project / Owne/r� -- �) 1��7�A"�- !_O/_� - _ <br />Co�traclor _C.%7_�/�C:1� �_ _ _ ___ __ ___ <br />Site Address: - �� � �! -- � ��%L - - - - . - - _ - -- <br />TYPE OF INSPECTION R[QUESTED <br />Sewer Sysiems ` Street � Road Base <br />Slorm Dram Systems � Rcof � Footmg Drains <br />f� Water Systems '. Public Works Fnal <br />' Curb 1 Gutler / Sid tvalk I � <br />M U �� p <br />� � <br />'xOther: _ f`�.iL� LIIU�_ ¢ �.I � G 19 .� <br />�APPROVAL <br />_ VIOLl�TION <br />�] PARTIAL APPROVAL <br />I � CORR[CTION REOUEST[D <br />. Corrections lisred beio�v MUST �E MADE before work can be approved. <br />,_ Please coniact mspector and arrange lor appoiMmenl <br />Was not a�!e to perlorm mspecbon <br />� � CALL (425) ._ _ _ _ _ _ FOR REINSPECTION — 2�i hour notice requ�red. <br />_�7yDi�vsr��Qc_- �.��ssv2� _�E.-�,----- <br />z z��sS_ f� �_,r� rr� ,—f.tl1Z7� ti.b <br />G ����- - - - �f.�-�s �i�C_i7�T'4..� -- <br />--- /] ) ^ —�7 <br />Inspector __��G._ _"� �"�"'___Date _�~ L� �/T _ _ <br />eas�n �e�w� � onrneao i�uc <br />