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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date:.6 44�1 I _ Permit: <br />Project / Owner. ------ <br />Contractor: <br />Site Address: ,W o ':�5oLJ ND — <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street / Road Base <br />Storm Drain Systems Roof / Fooling Drains <br />J Water Systems XPublic Works Final <br />Curb / Gutter / Sidewalk <br />I.I Other: -- — — <br />APPROVAL PARTIAL APPROVAL <br />VIOLATION <br />CORRECTION REQUESTED <br />XCorrections 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 />1 CALL (425) _.. - _ . _ _-- FOR REINSPECTION — 24 hour notice required. <br />_ PXjC;F <br />Inspector —�,�— /_A4drill Date �r(� <br />DA)ABAR. INC <br />EPSIR (0/00) <br />