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" - . . . . . . . t . . • • . -• ` I <br /> ENGINEERING / PUBLIC SERVICES <br /> � INSPECTION REQUEST <br /> Date:�'a�/S-Permit: _J�w( �'�z�� <br /> Project/Owner._._5���_---����• _/f�J���_-.- <br /> Conlractor._ -_.. �G/�� ____ __. __ . <br /> q ��y' <br /> SiteAddress:_L.f � S �—_�i��- �—�_"_'.--- <br /> I�YPE OF INSPECTION REOUESTED <br /> Sew�r S slems � ' Street/Road Dase <br /> ., lorm Drain System IJ �oof/Footing Drains <br /> LI Water Systems [I Pubhc Works Final <br /> ❑ Curb/Gutter!Sidewalk <br /> �__� Olhec - -- ._ . ...._. _- <br /> � APPROVAL � PARTIAL APPROVAL <br /> �U IOLAIION � � CORRECTION R[�UESTED <br /> ❑ Correclions listed below MUST B[ MADF before work can be approved. <br /> � Please contact inspeclor and arrange lor appoinlment. <br /> I _I Was nol ablr. to pr.rform inspection. <br /> I�I CALL (425)_ _ FOR flEINSPECTION - 24 hour nohce reywred. <br /> �C1O��lY-�-- .�/I�G f�G��' 1_���.� <br /> ��c/S7��rG� -���,�7�/-�_`�_. _ <br /> � — _ -- -- <br /> �G�i_�!'i�.��_//_ -i�3--'�� <br /> Inspector_ alr. _ <br /> � t�S�Rrr.IW) / Dn�nunil.iHC <br /> � <br />