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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />� Date:_ �_a� � PermiC _ W ��i —D(�-- <br />Project/Owner: —_S� ��I'�'L�'N �— -- <br />Contractor: __ p — /'� --- <br />SiteAddress:__ 7aJ='s3 �'M—�5�7/ — <br />TYPE OF INSPECTION REQUESTED <br />; Sewer Sysierns [_,' Street / Road 3ase <br />'' Srorm Drain Systems [_'i Fioof ! Footing Drains <br />! I Water Systems ❑ Public Works Final <br />Curb / Gutter�idewal <br />` ��: _-- -1 � � S �� � ���._�s �C� <br />1 APPROVAL [] PARTIAL APPROVAL <br />1 VIOLATION �� CORRECTION REUUESTED <br />1 Corrections listed below MUSI' BE MADE before work can be approved. <br />Please contact inspector and arrange tor appointmenl. <br />' Was not able to perform inspection. <br />CALL (425) ___ -- __ FOR REINSPECTION — 24 haur notice required. <br />Inspecror Date � <br />EPSIR (C/OV) DATABAR, INC. ' <br />