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G CWGINEERW(�� I PUUM SERY-.47S <br />ONSPECTiGN REQUEST <br />*77 <br />Date: a] Permit: <br />Project / Owner: <br />Contractor: <br />Site Address: _� (0 <br />_,/ TYPE OF INSPECTION REQUESTED <br />L� Sewer Systems Lj Street / Road Base <br />❑ Storm Drain Systems [] Roof / Footing Drains r <br />U Water Systems ❑ Public Works Final j <br />0 Curb / Gutter / Sidewalk <br />U Other: - <br />`1 <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 REINSPECT(ON — 24 hour notice required. <br />Inspector _ Dale <br />EPSIR W09) DAIABAR, INC. <br />