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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />v Z <br />Date: <br />Permit: <br />Project / Owner: <br />Contractor: / <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems <br />Street / Road Base <br />Storm Drain Systems <br />Roof / Footing Drains <br />Water Systems <br />Public Works Final <br />Curb / Gutter / Sidewalk <br />Other: <br />APPROVAL <br />PARTIAL APPROVAL <br />IOLATION <br />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 />CALL (425) FOR REINSPECTION — 24 hour notice required. <br />Inspector Date <br />EPSIR (6/09) DATABAR, INC. <br />