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�~- EPdGlPIEEIRlP1C / PUBLIC SERV9CES <br /> �J INSPECY10�1 REQl1EST <br /> Date:3-'�/Z. Permit V', � 1 ' ��� <br /> Project/Owner: �����/���� <br /> Contractor. ����.�� /� � s <br /> Site Address: ��i� /.3�y �`6 S�� <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems �� e <br /> Slorm Drain Svstems Roof/Fooling Drains <br /> '.Nater Systems -ina <br /> Cirb/Gulter/Sidewaik <br /> Other. <br /> J APPROVAL PARTIALAPPROVAL <br /> CORRECTION REOUESTEG <br /> Corrections listed below MUST BE MADE befcre work can be approved. <br /> Please contact inspeclor ard arrange (or appointment. <br /> Was nol able to perform iaspection. <br /> CALL(425) FOR REINSPECTION — 24 hour no�ice required. <br /> ,�G�,� {��i</� 1�,���f�i�l tf'-��1�1� S� <br /> Ct'iv,v�C��p� ���c��� <br /> In��.���:�rtor���/�JGlI�//� ���. �el��'�l .C_ <br />