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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> T�s�. In <br /> D�te /-�C '-/-� Pennjt: I"GVlZ((7'Ul7 <br /> Pr<iject �O�vner: ��� ��/� /.l��v�'�� C`�-��ysC� <br /> c��,«a�i��: l�/«L/jNp �oi;�S i�G, <br /> �itc Address: I03�e'� / yr �if�� s Ii�- <br /> TYPE OF INSPECTION REOUESTEU <br /> Sewer Sys�ems Street/Ro�d E3ase <br /> Storm Drain Systems Roo�/Foohnr� D����.�.�.�- <br /> Water Syslems Public Works fl��,,.'� <br /> Curb/Gutler/Sidewalk <br /> x Other: L�IT/r.G'/tr �C✓✓��i �/V <br /> APPROVAL PARTIAL F�PPROVAL <br /> VIOLATION CORRECTION REOUESTCD <br /> Corrections lisled below MUST �E 1.4AD[ belore work can be appro�.�ed. <br /> Please conlad inspeclor anA arrange for appoinimenl. <br /> Was not able to perform in:peclion. <br /> CALL(425) FOR REINSPECTION — 24 hour notice myuiir,d <br /> !'�'�/7'k'i.'c7ZY� r l,�s;i�✓� Cn�4'�g i•✓ <br /> �G'�/�vO�C�^/ fo/�i!_S �/S�i✓� //� f�/�'l/i�i� <br /> r;r'�/�:C .p�� /',�e -��I' Ot�:/��=�1' T,F'�/c'K , <br /> /�l'L'� �!/yL/Sl�i.'"G %SS�i2�S OjZ �.�C�rs',C'�I`1� <br /> .�Y//�� �C//c�//v� TJ%/S ��T�L�C7�G/.�� <br /> T'�C'�GC``� .e�2T �'r��T�l� <br /> %�/l�l� Tif��T ��� 1'�'oL✓� f/� <br /> i�`rN �'/ll�� T� i7'iS �/r ,���-��/� <br /> Gl/�.� � 7"iS�C /�l{�"S .�C19,�s .�%Gi� /sv?'�cYf <br /> � /03�-'0 / =� ,G7'� S,�, i'i�j�- T�5'/S <br /> l'f'LG � ` /.✓i�L /�'�1���-G/ 5�7�- <br /> I�i�'i�✓� ��/l,�'.���/E= h'G,�S <br /> T!�/�n:F'ocd i-�'� �.3 /��. <br /> ��, ;=��,,�. � <br /> CLi�� .ii�iy9� �� % -�'�'�3 <br /> ,« <br /> r�'�.��i� �vn�'.� �✓_s CTo/� ,,,,.::., �.. <br />