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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date.�" G�= �� Permit: � l � J—� �–J_ - - - <br />Project / Owner: _ _ _ _ <br />Comractor: _ __ �1���_✓�/�.—���r/��G �� <br />Site Address:_��Z 7__l�4��T�����- - -- <br />TYP[ OF INSPECTION REOUESTED <br />�� ewer Systems L�' Street / Road Base <br />� torm rain Systems �� Roof / Foetiny Drams <br />❑ Waler Syslems !_ I�'ublic Works Final <br />U Curb / Gulter / Sioewalk <br />�J Olher�. ___ . _ _ <br />, � PARTIAL APPROVAL <br />� �I CORFECTION REOUESTED <br />n Correclions listed below MUST BE MADE bebre work can be approved. <br />❑ Ptease contacl inspector and arrange lor appointment. <br />�_ � Was not able to perlorrn �n>pection. <br />� J CALL (425) __ . -___ _ FOR REINSPECTION — 24 hour nohce reqwred <br />l��C'/1���/��__l_�i�_Y� �S./!�'l�t� <br />S�_r_�s�-�c�v2y- ----- <br />Inspector.��/ _��/y��� _ ___ �S_ <br />FPSiR�(��pa� DAIpBAR. WC <br />