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� <br />\ ' �.�i1 <br />ENGINEERING / PUBLIC SER1i10ES <br />INSPECTION REQUESY <br />Date: l � - O6 -��Germit: --- _ . . -- <br />Project / Owner. �_/_��`��1'� ��/��� ---- --- <br />Contractor. ___— ��f� ����� <br />Site Address: ���� J_���� _ �' �—'�_-±— <br />TYPE OFINSPECTION REOUESTED <br />� Sewer Systems �� Street / Road Base <br />L� Storm Dram Systems ❑ Roof / Footing Drains <br />[ f Water Systems � 1 Public Works Final <br />❑ Curb / Gutler / Sidewalk <br />❑ Olher: ---- - - _ -- - - <br />L; PARTIAL APPROVAL <br />!_ _� CORPECTION RE�UESTED <br />[j Corrections listed below MUST BE MADE betore work can be approved. <br />i_.I Please contact inspector and arrange tor appointment. <br />i i Was not able to perlorm inspection. <br />[I CALL (425) _.._ _- __--_ FOR REIkSPECTION - 24 hour notice required. <br />_S_�I_��=_S�w�� ���i/�_�'�� <br />— -- --S�TrS�.�cTo�=� <br />Inspectoi � -_ . �_/yf����_�-�,�'�7a' —�L� <br />_� /� <br />EPSIR (6l09) .c� DNABAR. W C. <br />