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ENGINEERING / PUBLIC SERVICES <br />CM467r INSPECTION REQUEST <br />Date: Z=Z7/ Permit: <br />Project / Owner: _zKe-v <br />Contractor._/j�/,EA/f! <br />Site Address:r — /�•_ <br />TYPE OF INSPECT!ON REQUESTED <br />❑ Sewer Systems LI Street / Road Base <br />❑ Storm Drain Systems ❑ Roof / Footings <br />❑ Water Systems u Ic or inal <br />❑ Curb / Gutter / Sidewalk <br />❑ Other - -- - - — <br />ff I APPROVAL PARTIAL APPROVAL <br />CORRECTION REQUESTED <br />❑ Corrections 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 />❑ CALL (425) _ FOR REINSPECTION - 24 hour notice required. <br />Inspecto �1/�r-1440jY��f� Date z: <br />EPSIR (6/09) DAIABAR. INC. <br />