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� . : : : (� I .I. s;53� .. <br /> ENGINEERING / PUBLIC SERVICES <br /> INSPECTION RE6IU�ST <br /> �u��t.c2-ow�P <br /> Date �`� I Permit:_ � ___ <br /> Project/Owner:�^-�L 1 ��`' 1�I'v � �`�.[J��_�l._�2�!,-, ,�n <br /> Contrec�or:___ — � ___ —_ � - �LN`-� <br /> . /� <br /> SileAddress:Uj3.V�--��-�J��i_. `�� �_� `� ��Iv <br /> TYPE OF INSPECTION R[QUESTED <br /> CI Sewer Systeins �_� �treet 1 Road 6ase <br /> �_� Slorm Drain Syslem, ❑ Roo(/Fooling Drains <br /> ❑ Water Systems �X�'ublic Works Final <br /> �_� Curb/Gu�ter I Sidewalk <br /> I_ l otnor:-- — --- _ _._— <br /> I � APPROVAL U PARTIAL APPROVAL <br /> [� VIOLATION � ) CORRECTION REOUEST[D <br /> � � Corrections listed below MUST BE MADE before work can be approved. <br /> �i Ple�se contact inspector and arrange br appointmeN. <br /> ❑ Was not able to perlorm inspection. <br /> [ � CALL(425) .._____ FOR REINSPECTION — 2A hour notice reyuired. <br /> —. _.. -- ----- <br /> — S�� a�t,R'�v[���N_rs_ _S�nS_f-� --rok-'� <br /> - - - _ — __- <br /> ------ -- ._- <br /> Inspecbr _ _,�I�C . __ Datc _ 6 �/(,s. -- --_.. <br /> [r,m ro�<n� ----' �f on�nunrr.�Nr <br />