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ENGINE�RING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />+ Date:/Z'�/-�9 PermiL• _ __V""" ��5 "�5 <br />Project / Owner: �`"l � �'GG�i�C _ . <br />Contractor. _ _ . <br />_ __ <br />Si�eAddress 9�I�.� _ '7 �/,�'r'S� s� - <br />TYPE OF INSPECTION REOUESTED <br />[_; Sewer Systems Slreet / Road Base <br />�_I S�orm Drain Systems t � <br />L'; Water Syslems Public Works Final <br />L � Curb / Gutter / Sidewalk <br />�_ l Other. <br />�] APPROVAL <br />C] VlOLATION <br />CORRECTION REOUESTED <br />[! Ccrrections listed below MUST 8E MADE before Nork can be approved. <br />�� Please contacl inspector and arrange lor appoiMment. <br />�� Was not able to perform inspection. <br />� CALL (425) 33�`i —�"10'¢ FOR REINSPECTION — 24 hour notice required. <br />�«SL� �/`i%�L�"7t� .�/cS�'l_ _ Or-_. <br />k/iAY __�t�"f/�i�i�"l!!O/t/. �LoC1c__G✓l�L<.._.__ <br />�if�%Zi�� 9�Y1� v�lS ��L�/J�C,•_ _ <br />_.__f��G _ .�� Z�__ ��.<T�eT <br />�-1��-_ S�'c-��� _ y�-� _.�:-�J`r/c ��S1��S <br />Cb��-/icC� _ T�`fFS_— �^����- - _ _ _ <br />__ _ _ .. ___' <br />. -_-. ... . _ -._ .. _'__-._ .. <br />- ----- --- -- - �G � -- � �- <br />__ <br />p•�l �l�`l!9 -- <br />- -- �-C-2 `- <br />� ��/� - - <br />------ - , - -- <br />�/ --- <br />__i Q-r 1�` ___ --- ��,i�---- <br />_ <br />----- - �=--�- ---- ----- -- <br />- -_ _- __ _ _ ---_ _�---.—� - <br />Inspector�'�f�_ L//fji/3��P� _�� Z �l_�_� �] _ <br />EPSIR (6/W) DAIABAR. MG. <br />