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ENGINEERING / PUBLIC SERVICES <br />� INSPECTION REQUEST <br />Dateb � S ! `7`-- Permil: _.—�W ��"�.G�- -- - <br />Project / Owner: -- - -------- -__-- - _-- --_ —. <br />Contractor. _ _ __ _— ._ <br />a/ /�y ,�t----- <br />Site Address: _ 2`( D� LG __ _�7T_—.___ <br />TYPE OFINSPECTION REQUESTED <br />I� Sewer Systems �] Street / Road Base <br />' � Storm Drain Systems u�ioof / Footing Drains <br />_] Water Systems XP�blic Works Final <br />i_ I �urb / Gulter / Sidewalk <br />' ' Othec . <br />�, APPROVAL [ I PARTIAL NPPROVAL <br />�_ I IOLATION [] CORRECTION RE�UESTED <br />lJ Corrections listed belo�.v MUST BE MADE before work can be approved. <br />�..1 Please contact inspector and arrange for appointment. <br />�J Was not able lo perform inspection. <br />L� CALL (425) _____ _ _ FO!± REINSPECTION — 24 hour notice required. <br />Inspector __ �,�� _��___Date � — � 1� <br />easia �eiovi onrne��a. ir+c. <br />