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. _�_ _._�_�_.-- �� `:J <br />� � � � ENGINEERING / PUBLIC SERVICES <br /> - INSPECTION REQUEST <br /> Date:_ _'�_`�_-_��-��PermiC_.. <br /> Project/Owner. �'i�rJ_�!'_!�-r�—��+�� - <br /> � . <br /> Contractor: " __----------- --- <br /> Site Address:_zzOl__���=�-�'- --- <br /> TYPE OFINSPECTION REOUESTED <br /> IJ Sewer Systems ;] Street/Road Base <br /> ❑ Storm Drain Systems i Rool!Footin Drains <br /> ❑ Water Syslems �_ ublic orks Final <br /> �� Curb/Gutter/SiAewalk <br /> �� Othec------ - - - - �---- -�- � -- -- <br /> � � APPHOVAL LI P�HTIAL APPROVAL <br /> �J Vt0 AT�ON L.; CORRECTION RE�U[STED <br /> �_� Corrections listed below MUST BE MADE belore work can be approved. <br /> ❑ Please contac� inspector and arran�e lor appoin�ment. <br /> IJ Was not able to pertorm inspeclion. <br /> _� CALL(425) __ _. _ . _— FOR REINSPECTION - 24 hour notice required. <br /> S_�T_�_ .�i_`7�.e�Y.�'-�-°��7'S-�i/l/�'�ilL'"l_�'J�y <br /> — - ----- - — <br /> InsPectorCL%�F,�/V���T-- - `�"'�i=— <br /> irsm mim� <br /> pninnno_inc�-- <br /> ) <br />