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� �NGINEERIPDG / PUBLIC SERVICE� <br /> �-' INSPECTION REf�1llEST <br /> Date: � � <br /> �"G��C.Permit_ __ �,{_ (�_�J_-CZ� <br /> Project/Owner. ��/S�/C�i�� - -N.. GV_.-- - -_ <br /> Contractor. �r���LJ���s- --- ------ <br /> 7`h' --' <br /> Site Address: ���0, _ _. il t'�_�-_ _-S - �---__-___—_— <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems i Street/Road Base <br /> rr r ys em Roof/F Drains <br /> I Public Works Final <br /> Curb/Gutter/Sidewalk <br /> . . Other: _ .__. ._. _. _ _ . . . . <br /> APPROVAL PARTtAL APPROVAL <br /> VIOLATION CORRECTION REQUESTED <br /> Corrections lisied below MUST BE MADE before work can be approved. <br /> Please contacl inspeclor and arrenge for appointment. <br /> Was not able to per(orm inspection. <br /> CALL(425) ____ _ _ FOR REINSPECTION - 24 hour notice reyuired. <br /> .S/��__.S��iS/�lC_/S�/✓.� '��b�-- <br /> ��O%_/�� _ _-�_T�1�f'�S _/i(/S`/7�tLL�--- <br /> _ — - — �{l/.5�-%G'��1 ------ <br /> Inspeclor��}rjC-_���}��C%5�� Date T�Z�=f�__ <br /> EPSiR(6/09) DNABN7.INC. <br />