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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: &/� /-_ Permit: -ZLLI 5- o - <br />I eject/Owner: — —- -- <br />Contractor:- — _—____ <br />Site Address:_-J-4-01 r O VV ✓✓.�` <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems E.I Street / Road Base <br />Storm Drain Systems [I Roof / Footing Drains <br />❑ Water systems [ I Public Works Final <br />❑ Curb / Gutter Side alk <br />Other: —��_ <br />' APPROVAL E � PARTIAL APPROVAL <br />IJ VIOLATION CORRECTION REQUESTED <br />is Corrections listed bek v MUST BE MADE before work can be approved. <br />�j Please contact inspector and arrange for appointment. <br />Was not able to perform inspection. <br />❑ CALL (425) _ FOR REINSPECTION — 24 hour notice required. <br />Inspector _--------- i <br />EPSIR (6109) <br />Date <br />DATABAR, INC. <br />