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ENGINEERING / PUBLIC SERVICES <br /> , '} INSPECTION REQUEST <br /> Date:‘— 23-0 Permit: 41/003— 02-3 <br /> Project/Owner: <br /> Contractor: .4-e( e 4-atc5 <br /> Site Address: 1 7-02 ic4 i2 <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ Sewer Systems - ❑ Street/Road Base <br /> Storm Drain Systems!r- <br /> /Footing Drains <br /> Water Systems ❑ Public Works Final <br /> • Curb/Gutter/Sidewalk <br /> ❑ Other: <br /> 6APPROVAL H 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(? Date C 23-1-0 <br /> EPSIR(6/09) DATABAR,INC. <br />