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ENGINEERING / PUBLIC SERVICES <br />INSPECT'iOM REQUEST <br />� ' 'l <br />Date��' Z�'"I� Permit: _l�l_�_�_�__V- �_ v <br />Project / Ownen _L/r✓� /��—y�'—� _ _ _ —_ <br />,� �i <br />Coniractor:----- - _ -- ------ ----- <br />� r� G� <br />SileAddress:._��G�_- _��-/�`���_ � _—__ <br />TYPE OF INSPECTION REOUESTED <br />Sewer Syslems ,__� Slreet / Road Base <br />S�orm Drain Sys�ems i Roof ! Footing Drains <br />Water Systems _� Public Works Final <br />� Curb ! Gutter / Sidewalk <br />�CotherN� %!/G�I�G'. /�/oiC�'S �'GC.�'-�`1/T-'`� <br />� j APPROVAL <br />j � VIOLATION <br />i-' Correclions listed below MUST BE MADE bebre work can be approved. I <br />' Please contact inspector and arrange for appointmenl. <br />_� Was not able to periorm ins�p,e,Iclion. <br />_ CALL (425).3�`�._ !�'-'T FOR REINSPtCTION — 24 hour notice required. <br />%�,���' _ ��__ ��/� i��D_�,�-7.r�'�" <br />���' -- �i,� ,��--- <br />tX��li�/Git/ F��i.��f 7�-��'���T- <br />�--- <br />L,/T/G??� _/���G�'-rcnl__ �T <br />7^"f � _ _ _��`_'.�oL/� - . i�'-o�'-C��'-�-- -- <br />��i�"Tll� >''i5�/�:__ Ti�� _ ���Sc=. _ <br />S�r� _ _�'�i/(/�T/�S: ---- --- - <br />- -- -- - <br />- - - — ------ -- - — --�� <br />�nspec�or ���'�� _/� _ ate /b — Z6 —%� _ <br />FPSIR (e/09) � UAIABAR. INC. <br />