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.✓ ---- - - --•-- -- _—� <br /> ENGINEERING 1 PUBLIC SERVICES <br /> J INSPECTION REQUEST <br /> Date: C�-lo =5 _ Permit:_i.�(�Dlo '��_ . / <br /> \ � <br /> Project /Owner_ _ - - -- - - - -- — <br /> CoNractor: _._ - _ __ __- _-- - - -- <br /> Site Address:___ZS �-l —_ _W_��o��- - — - <br /> TYPE CF WSPECTION R[OUESTED <br /> � � Sewer Systems ❑ Street/Road 8ase <br /> [� Storm Drain Sys�ems I_� Rool/FooLng Urains <br /> ❑ Water Systems ❑ Pubhc Works Final <br /> �_ � Cur 'Iter/Sidewalk <br /> _, Iher _ �To�—W_aC� p_20-EC� - -- <br /> �J OVAL I� PAATIAL APPROVAL <br /> Li VIOLATION ❑ CORRECTION REOUESTED <br /> U Corrections listed below MUST BE MADE bebre work can be approved. <br /> U Please conlact inspector and arrange tor appoinlmenl. <br /> ❑ Was not able to peiiorm inspeclron. <br /> ❑ CALL(425) _ _._ _ _ _ _ FOR REINSPECTION — 24 hour nolice reqwred. <br /> _�QPa,�C'S. - -'� ---5t�-�-- 5��1-e=p--�1�— <br /> _ �Q('��-�5- _ _ - - .- -- <br /> - `+ - - — --- --- _.._ _ <br /> _ _ �/o�_ _.��V'�t'71��p_�'fG� I'��I�2L�-C, <br /> - -�r�t7�R- -f l�- �7�"I-N�S. - - - <br /> InSpector__6��7��q/ / _�_._"' _Daic ,�Q — /0.��� . <br /> [PSif!(0/09) �-----� I D�I�B�R.ING <br />