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^;' <br />ENGIPiEERING I PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date:lZ �3 �� PerrniC C� C�C - C� 3 <br />Pioject I O�vner. �j�2 t�i— �_// .���/ �/�—Pi���Z—S <br />Contractor. Tn%��lQ / V�`�T <br />Site Address: /l/'�Z—! �5���'� �v�� �`r'T � <br />TYP[ OF INSPECTION REOUEST[D <br />��wer S stem Stroet / Roa�i Oase <br />Slorm Drain Syslems � ;'� oof 1 Footin� Diatns � <br />VJaler Systems -`Puhlic Wciks Firinl-� - <br />Curb / Gutter I Sidec::d6 <br />Olher. <br />APPROVAL <br />P�iRTI�L APPROVAL <br />CORRECTION REOUESTFD <br />Correclions listed belov; MUST �E MADE before work can be approced <br />P�ease conlact inspeclor and arrange lor appoiniment. <br />Was not able to perform inspection. <br />CALL (425) FOR RFINSPECTION — 24 hour nolice requnvd <br />Inspeclor _ �`— _ Datc � Z �S_' `�Q <br />u'; : �,. C n � ' �. cn7ABnF. �NC <br />