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ENGINEERING / PUBLIC SERVICES <br /> •�_ <br /> INSPECT�ON REQUEST <br /> Date:.'�� �� '�ZPermit f �� ��r z —C'C�• <br /> Projec[/Owncr. <br /> Contractor: �L�' ' /��— ��� I� <br /> Site Address:3.�2 ���(��F 5T <br /> TYPE OF INSPECTION REOUESTED <br /> � Sewer Systems Street/Road 8ase <br /> Storm Drain Systems . Roof/Footing Drain:; <br /> Water Systems Public Works Fi���l <br /> Curb/Gulter!Sidewalk <br /> Other: <br /> XAPPROVAL PARTIAL APPROVAL <br /> / VIOLATION CORRECTION REOUESTGD <br /> Corrections�isted below MUST BE MADE before work can bo zpp�ov�,d <br /> Please contad inspecror and arrange for appoinlmeN. <br /> VJas nol a6te to perform inspeclion. <br /> CALL(425) FOR REINSPECTION — 2�1 haur not�cc requved. <br /> 5'�,vrn.�-r 5�w�� �-i so�rld <br /> �a ���r��,x �5 s.�-�ns��,��y <br /> O�< /?� /3���It�Lc_ <br /> .�,,p�,r�r � ���i�'i+��---- ---Date �G� �[0� ��- <br /> � �. �..�,��: .... <br />