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EPIGINEERING / PUBLIC SER'✓ICES <br />INSPECTION REQUEST <br />Date:�/�/: �-3_ Permit ._�/zl.� =�/-�-- -- <br />Project/Ow�er: %��r�y __�'���� _ __ <br />Coniractor. ___��i/_� /�19.�/��__ -- __—_ - . _ _ — <br />Site Addre,s:1�/,«��/���� ---- -- — <br />TYPE OF INSPECTION REOUESTED <br />�__�� Sewer Systems L i Slreet / Road Base <br />�! Storm Drain Systems � R of / Footin Drains <br />�_��� Water Systems ub ic Works Final <br />• � Curb I Gutler / Sidewalk <br />' O�hCc <br />L� PARTIAL APPROVAL <br />❑ CORRECTION REQUESTED <br />Corrections lisled below MUST BE MADE before work can be approved. <br />I_' Pleasr, contact inspector and arranga for apoointment. <br />�_: Was not able to oerform insper.tion. <br />_: CALL (425) _ FOR REINSPECTION — 24 hour notice required. <br />�-�!t"�_/�l�i�'�i��"i_^_�__�ls_�'�.S=,�sP °�"/ <br />Inspeclor Q�/��! _��� a c — ` _ <br />FFSIR (b/OC) f)ASFBAR, INC. <br />