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ENGINEERING / PUBLIC SERVICES <br />C!47r INSPECTION REQUEST <br />Date: <br />Project / Owner:._ <br />Contractor: <br />Site Address:«�— <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems ] Street / Road Base <br />❑ Storm Drain Systems ❑ Roof / Footin ins <br />❑ Water Systems QMLUblic Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />APPROVAL PARTIAL APPROVAL <br />LJ VIOLATION CORRECTION REQUESTED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />r] CALL (425) FOR REINSPECTION — 24 hour notice required. <br />Inspector <br />MIR (O/e9) <br />DAIABAR, INC. <br />