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ENGIN�ERING / PUBLIC SERVI�ES <br /> - INSPECTION REQUEST <br /> Date:.��03��Permit C��C�'�'�2� <br /> I'roject/Owner:_�,i'�l��—G- .'�i— ,��J���,S <br /> contractor:l��v1� � � _ _ _�r'/�— <br /> Site Address: Z Q 7 ��.L�_���1� 3 Z <br /> TYPE OF INSPECTION REOUESTED • <br /> ❑ Sewer Systems Street!Road Base <br /> ❑ Storm Drain Systems � Roof/Footing Drains � <br /> ❑ Water Syslems u lic Works Final � <br /> ❑ C�rb/Gutter/Sidewalk • ' <br /> ❑ Other: <br /> APPR ❑ PARTIAL APPROVAL <br /> VIOLATION ❑ CORRECTION REDUESTED <br /> ❑ Corrections listed below MUST BE MADE belore work can be appwved. <br /> ❑ Please contact inspecior and arrenge for appointment. <br /> ❑ Was not able �o perform inspeclion. <br /> ❑ CALL(425)_ FOR REINSPECTION — 24 hour notice req�ired. <br /> C ���s�����-I�-SS�r��/ <br /> Inspector�/_� � � ��3—�!�_ <br /> EPSIR(O/W) DAIABAR.INC. <br />