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G / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> �,�rr <�> � <br /> Date:�=��PermlC _ <br /> Project/Owner:_��,Q._��C�f_.�i��-- - .. <br /> Contractor �•l7_.P— _____ _______— _ <br /> Site Address:__�.5��_�-�.Sl!/��- S• ty�, <br /> TYPE OFINSPECTION REOUESTED <br /> , Sewer s �_� Street i Road Base <br /> I : torm Drem Systems �_.I Roof/Fooling Dra�ns <br /> �J Water Systems j_� Public Works Final <br /> r Curb/Gulter!Sidewalk <br /> `� Other _... . _._ -_ <br /> � APP V PARTIAL APPROVAL <br /> J� VIOLATION `� CORR[CTION REQUESTED <br /> [� Correcfions listed below MUST �E 69ADE betore work can be approveA. <br /> U Please contact inspecior and arrange for appoimment. <br /> �� Was not able lo pertorm inspectirn. <br /> ❑ CALL(425)__ _ .. _. _ FOR REINSPECTION — 24 hour notice requued <br /> .S/1��-��r.U.�'�1i_(�5����� �is,�/S1(�'_�T'1 <br /> InspetlorC_�lj� L�� � ate����Z _/ _ <br /> r _'_ <br /> CPSfilei0J1 �i Dn1nP.h wC <br />