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ENCIPlEERING / PiJBLIC 5ERVICES <br />INSI�ECTIOPI REQUEST <br />�� <br />Date: �%-30'�`/ Pennit: <br />Project / Owner: �--'���/� ��y/�%�`�L <br />Contractor: /`7/i�r %S� L�XC'�V�T"%�'�� <br />Site Address: `?4�� 3�� '9✓� s-�, <br />TYPE OF INSPECTION REQUESTED <br />�Sewer Systertis _� Strect I Road Base <br />"5 orm Drain System� Foof l Foo11n� Uroins <br />Waler Syslems f'uLhr. Wnrks Rnal <br />Curb / Gutter / Sidewslk <br />Other: <br />PAR1lF�L APPfiOVAL <br />C��RRECTION FEOUESTED <br />Corrections listed below MUST DE MADE before work can be approved. <br />Piease contact inspector and arrange (o� appointmen'�. <br />Was not able lo perform inspec�ion. <br />CALL (425) FOR RF(INSPECTION — 24 haur notice r:;quired. <br />Si�L� S�i�t�G'i �%�j��i�--�'�� . <br />�,�z�s�����' _ _ _ <br />_ ---------- <br />.� <br />Inspector�Y/�� </iS�j�i "7hZ`� --- ate— �j —3C � � `�-- <br />•� DAiA6AR.ING <br />hk;:�.Y.6ftT:) <br />