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ENGiNEERlNG / PUBLIC SEF3VICE� <br />INSPECTION REQUEST <br />�1�I..� <br />E/ <br />Dale L-Z�-/¢ Permit: . �I `{OI 'GUI <br />Pro�ecllOwner _ �izvGi'�� /7��`/�G <br />Contractor. � Z � �3 � � ��C �-�'�� <br />Site Address: ��+� /8��� / � S - � �� � <br />TYPE OF INSPECTION REQUESTED <br />L Sev+er Systems treet / Roa <br />L Storm Drain Systems oo( / Foolin Drains <br />�_ Water Systems . PuUhc Works Final <br />� Curb l Gutter 1 Sldewalk <br />� Othec <br />� � PARTIAL APPROVl1L <br />� CORRECTiON HEOUESTED <br />�_ Corrections hsted helow �1UST E3[ MADE before work can be approved <br />�� Please conlact inspector and arrange lor appointment. <br />�: Was not abtc to pertorm �nspecl�on. <br />I � CALI (425) _ _ __ _ _ . FOR REINSPECTION - �4 hour no�ice reqwred <br />�2'C� ��=%";ii'�l/r`-� ���6/� - <br />-�-1�`1Sf��'�'�'�_ <br />Inspector GQu,����/�L/�'1�� '—��'��� I' <br />[ns�n �e�nv) DF�oPn�< i•i� <br />