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ENGINEERING / PUBLIC SERVICES <br />(INSPECTION RDEOU /EST <br />Date: U'�-4 I Z—Permit:_— <br />Project / Owner <br />Contractor: <br />Site Address: _ 2 J ok __ <br />TYPE OF INSPECTI) I REQUESTED <br />❑ Sewer Systems ❑ Street I Road Base <br />❑ Storm Drain Systems i�i Root Footing Drain <br />❑ Water Systems 'l.,J Public Works ina <br />❑ Curb / Gutter / Sidewalk <br />❑ Other <br />I APPROVAL FI PARTIAL APPROVAL <br />/]^ VIOLATION ❑ CORRECTION REQUESTED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />[� CALL (425) _ _. FOR REINSPECTION — 24 hour notice required. <br />Inspector A: <br />EPSIR (E/OG) <br />Date _ -/ E <br />DAIABAR. INC <br />