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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: S=Z'Z�Lr Permit rW �404 ' 02� <br />Project / Owner. _�.�'t�� — _. _- _ <br />,7�����--- - <br />Contractor.___2_''_ '/ _ —_ -- <br />Site Address: �.J I ��CL�� �— - <br />TYPE OF INSPECTION REOUESTED <br />�Sewer Systems ❑ Street ! Road Base <br />] Storm Drein Sysiems � �ool / Foohng Drains <br />❑ Water Systems ❑ Publ�c Works Final <br />r Curb / Gutter / Sidewalk <br />❑ Othen --_ <br />�PPROVAL <br />`j IOLATION <br />�� PARTIAL APPROVAL <br />❑ CORRECTION REOUESTED <br />�] Corrections Ilsted betow MUST BE A1A�E belore work can be approved. <br />❑ Please contact inspedor and arrange lor appomtment. <br />i � Was nol able to perform inspecuon. <br />�_� CALL (425) ___ ___. FOR REINSPECTION — 24 hour nolice requhed. <br />-- :���s�-�y-ok � B_��� <br />EVSIR (b/07) <br />DAIAPAR. IHC. <br />