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�NGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> G f�( -0nU'5 <br /> Date: �'Zs��Z- PermiL• `��'-�'C�trQ6"��- <br /> ProjecV Owner. �i/i-/L� `�/7S/�/�--- -- -- <br /> Coniractor. 4[/C/�t/�T< ---- - - <br /> Site Address: ���� R�M p�` - - _ <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems SUaet/Road Base <br /> Storm Drain Systems oof/Footing rains � <br /> Water Systems u ic or c�s Final <br /> Curb I Gutter/Sidewalk <br /> Olher. . - � � --- <br /> APPROVAL PARTIAL APPROVAL <br /> CORFECTION REQUESTED <br /> Correclions listed below MUST BE MADE before work can be approved. <br /> Please conlact inspector and arrange for appoinlment. <br /> Was not able to perlorm inspection. i <br /> CALL(425) FOR REINSPECTION - 24 hour notice required. <br /> i�v���T�i� sys�� ��s,��� - <br /> s.��-is - --- -- _- I <br /> � <br /> Inspector LU/ f'_�_�___��I��—'� �/J�y Dale �Z3��� <br /> EPSIR(e/OG) CAiABAR.MC. <br />