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ENGINEERING / PUBLIC SERVICES <br />„- INSPECTION REQUEST <br />Date: /%-/D Permit: <br />Project / Owne'. if7�DiZTCt-' / <br />Contractor: <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street / Road Base <br />form rain ystems Roof / Footing Drains <br />Water Systems [-! Public Works Final <br />Curb / Gutter / Sidewalk <br />Other: <br />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 />Inspector CL/l�_Date <br />EPSIR (E/09) DATAeAR. INC. <br />