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OLI <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: S��///0 PermiC/i21'JO �D �' 03 <br />Project / Owner: 5tf7 ZV%5 17 ✓� <br />i <br />Contractor: �+Cy�f�v13 u- / <br />Site Address: 4 / O 0 SI ¢ <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street I Road Base <br />Storm Drain Systems Roof / Footing Drains <br />Water Systems Public Works Final <br />Curb / Gutter I Sidewalk <br />Other: - - - <br />APPROVAL 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 />-—ZV__(er/— <br />s�rs�` <br />u <br />Inspector __ - -----Date _�— <br />BPSIB (0107) - -� DAIABAR. INC. <br />