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�/ . � ' ' ' r. . ,�. . --�� _' ._ <br /> ENGINEERING / PUBLIC SERVICES <br /> '- INSPECTIO�V REQUEST <br /> Date:S�Z��SPcrmit <br /> Projecl/Owner s��L�_G <br /> . . � <br /> Contractor: ---����.. ��� — ._ ----y-----_-- <br /> Site Address:�Z z� ,� Y—'—/��—?•a <br /> TYPE OF INSPECTION REQUESTED <br /> ��� Sewr.r Syslems ❑ Street/Road Base <br /> I__I Storm Drain Systems � I Ro Drain <br /> U Water Systems i u ic Works Rnal � <br /> . <br /> ❑ Curb/Gutler/Sidewalk � � <br /> � .� Other:__. __, <br /> ' . PPROVAL ���' PARTIALAPPROVAL <br /> L, IOLATION �_ CORR[CTION REQUESTED <br /> ❑ Currections listed below MUST RE MADE be(ore work can be approved. <br /> � Pleasr, r.ontact inspector and arrarge lor appointmenl. <br /> �_� Was nol able to p[�rform inspedion. <br /> ❑ CALL (425) . .. _ FOR REINSPECTION — 24 hour nolice reywred. <br /> -.S,lv� .�i7/_�2._��%'�-��fj�-- _ _ <br /> _ _ __����--�-��� . -- _ -- <br /> _-- - - _ __- � <br /> --- __-- ------ - -- � <br /> InspcUor C�,���/,JTO9i���?��% _ __ Z/ =�� <br /> tP$IRf6100) OPIAUAf lf <br />