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ENGINEERING / PUBUC SERVICES <br /> ��%� INSPECTION REQUEST ( <br /> , U� <br /> r' Date:/'3���.5 PermiC � �Z�z--� <br /> Project /Owner. G��/�Z�'�/`"`� <br /> Contractor: �'�� �S <br /> s��e nddress: `3`��8 �f r�L•�-✓. 6'�� �`3 <br /> __ Tl'PE OF INSPECTION R[OUESTeD <br /> . �-�Sewer Systems � Svicet I Road Basc <br /> lorm rain yslems Rrof i Foofing Drr.n= <br /> N'ater Systems Puulic 1ti'or4_: P�nal <br /> Curb/Gitlter/Side�v�lh <br /> Olher: <br /> ,- � A� APPROVA PARiIALAPPf;OAb�L <br /> ���ya-�q CORRECTION HEQUESTED <br /> Corrections listed below MUST 8[ MADE Uelore wnrk can be approved. <br /> Piease conlact inspector and arran9e tor anor;�itment. <br /> Was not able lo perform inspec�ion. <br /> CALL(425) . _ FOR REINSPECTION — 24 hour noticr reqwmd. <br /> .��1���'- S1�/�i�= /�_�i�i,� � <br />, S6f�`T/S,�i�CT�.� <br /> ��_ <br /> � <br /> �'� G� �"'7�,y,�''a'�� �� ��� <br /> inspector ��� /'� `�atc �— <br /> DninBAB RJ. <br /> IiSO�{�.1:� <br />