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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> �ate�-'�Z���Permit: <br /> Project/Owner: _ <br /> Contractor: .«�? s�� ��"�' ��S <br /> Site Address: �.QZ� �i � ���� � <br /> TYPE OF INSPECTION RE�UESTED <br /> Sewer Syslems Street/Road Base <br /> Storm rain ystems oof!Footing Orains <br /> ❑ Water Systems L Public Works •inal <br /> ❑ Curb/Gutter/Sidewalk <br /> ❑ Other: <br /> APPROVAL ❑ PARTIALAPPROVAL <br /> N ❑ CORRECTION REQUESTED <br /> ❑ Corrections listed bel�w MUST BE MADE belore work can be approved. <br /> ❑ Please contact inspector and arrenge for appoinimenl. <br /> ❑ Was not able ro perlurm inspection. <br /> ❑ CALL(425) FOH REINSPECTION — 24 hour noti�e required. <br /> ���� --�_�`i�� f�rt/v /C'Do� �>it/� <br /> __,/�t1..�7�1�� s��sjt,s'�'r'�2/- <br /> Inspecmr���/f'Y�7/� CV%1.1��'--'�l�L—'7 <br /> EPSIR(0/0% �_ DAiFBAR.INC. <br />