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ENGINEERING / PUBLIC SERVICES <br />INSPECTION RE�UEST <br />• Date �" �s � �. Permit: _ __ _ <br />Project/Owner:� GOj��/ ��_/�1_/��___. <br />Contractor: _ _ _��/_ �� -- - ----- <br />, Tr' <br />Site Address: _ Z_ �,J__ _ _9S _ __� -5-.—�- • -- -- <br />TYPE OF INSP[CTION R[OUESTED <br />! Sewei Systems �_1 Street I Road Base <br />�� torm Urain Systemc ❑ Roo1; Fooling Drams <br />❑ Water Systems �� Pub��c Works Final <br />[J Curb / Gutter / Sidewalk ' <br />❑Olher� -----�- ��- ----- <br />� ] PARTIAL APPROVAL <br />❑ CORRECTION REOUESTED <br />�] Correcdons 6sted below MUST AE MADE belore work can be approved, <br />❑ Please contacl mspectm and arrange for appoiNmenL . <br />❑ Was not able to peAorm mspection. <br />Ci CALL (425) ___ __—_ FOR REINSPECTION — 24 hour notice required. <br />S_��__S�u %�l�v:�? �'af,l_��"/�� <br />-- ---- �'�-�'�"'Tdi�iy ------ <br />Inspector�/�_.�/�1/% i/�j(����— <br />EPS�R (CIUG1 DAI�BAR. INC <br />