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ENGINEERING / PUBLIC SERVICES <br /> - ' INSPECTION RE�UEST <br /> Date: !rJ_r�`� lZPermit: _C_/_(�1_—�� <br /> Ptoiect I Owner:_ Sf'l���C� --- -_ _- -- - - <br /> Contraclor. ��nQc3i.cti--- (�W M���C --- - --_ <br /> SiteAdAress:.L_-��{'�-.�- - �S^��'C�{�`J� - ----- -- <br /> ��, TYPE OFINSPECTION REQUESTED <br /> I X Sewer Systems '_ : Slreet/Road Base <br /> �� Storm Drain Syslems �. Rool/Pooting Drams <br /> � � Water Systems _ , Public Works Final <br /> i 1 Cur6/Gulter/5idewalk <br /> ��. Olher: - - ------ - - -----. ._ . - -- - <br /> � APPROVAL j PARTIAL APPROVAL <br /> �_j IOLATION ! ! CORR[CTION HEOUESTED <br /> ! ' Corrections listed below MUST DE MAD[ belore�vork can be approved, <br /> I �� Please contact mspector and arrange lor appointment. <br /> i.� Was nol able to perlorm inspection. <br /> ;_; CALL(425) _ . _ __ _ ___- _ FOR REINSPECTION - 24 hour nolice reqwrec'. <br /> - --- n - -�y-,-.,�-��---- - - - -� --.. <br /> - - - �UliSi�JuCQ C "`^- l�_—�1Gi �S1�C'O --- <br /> - --�s�- ���_�---cc�����- - - _ _ <br /> -- ----- ----- - — --------- ��'� <br /> -- - � ---� --� -- - --��U <br /> Inspector ��y, v���__---�___ _'__.Date _ ��5 <br /> rvsm�eioo� un�ne�n m� <br />