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3 <br />.� <br />ENGINEERING / PUBLIC SERVICES <br />INSP�CTION REQUEST <br />`/5- �w �5L�4-c'�sF�_ <br />Date: E'�� S Permit:._ <br />Project / Owner: /�1�.�--5�/�{�(,_ j_�(_1+--- -- -- <br />Contractor:-_ _------ ----. ----- -- <br />Site Address: _�Q �_� 4- -=�7 � - —�2-�'(;_ --- -- <br />TYPE OF INSPECTION REQUESTED �j p;�,r�q -ny�� <br />❑ Sewer Systems /��" <br />�) Street / Road Base �� 47 Jf l L( <br />❑ Storm Drain Systems ❑ Roof ! Footing Drains .✓�.t.CL( D�J �pIZ <br />[ � Water Systems ❑ Public Works Final C� <br />r Curt / GuBer / Sidewalk /.�7� � 1� f_ <br />'�Othec----.. �-V-l��'l�.c.�----L'2._��WG.-- �--- -- <br />VIOLAT�ON <br />�� PARTIAL APPFOVAL <br />[� CORRECTION REOUESTED <br />I� Corrections listed below MUST BE MADE before work can be approv=_d. <br />�I Please conlact inspector and arrange for appointment. <br />I � Was no� able to perlorm �nspection. <br />❑ CALL (425) _____ __ FOR REINSPECTION - 24 hour notice required, <br />Inspeclar_ �I�/�� . _Date __{c��!•/ f C-- -_-- <br />�� � J <br />FPSIR (0/OG) DAiA9Aft. iNC <br />