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ENGINEERING / PUBLIC SERVICES <br />CL77- <br />INSPECTION REQUEST <br />Date:/�/,/o -- Permit: elpl,7 5 t-fl <br />/ Owner:..— <br />Contractor:Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems I _ I Street / Road Base <br />Storm Drain Systems �Floof / Footing Drains <br />Water Systems Public Works Final <br />Curb / Gutter / Sidewalk <br />Other: <br />XAPPROVAL 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 />I` Was not able to perform inspection. <br />CALL (425) - - . FOR REINSPECTION — 24 hour notice required. <br />DAIABAR, INC. <br />