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ENGINEERING / PUBLIC SERVICES <br /> �NSPECTION REQUEST <br /> U��� <br /> Dare:�_'�'�Permi�:_ CIZb�"U3�__� <br /> Project/Owner:�GY_���,,��,,,��yyyy_—_����— <br /> Contractcr: �X C���� ,'C� �'�'�'���� <br /> Site Address:����--_.7���f�L�_._� <br /> TYPE OF INSPECTION REOUESTED �- <br /> stems �� Street I Road Base <br /> Slorm Drain Systems ❑ Rool/Foo�ing Drains <br /> • Water ys ❑ Public W�rks Final <br /> ❑ Curb�Gutter/Sidewalk <br /> U Other —_ -- — -- --_ — <br /> APPROV � PARTIAL APPROVAL <br /> VIOLATION [] CORRECTION REOUESTED • <br /> ❑ Corrections lisled �elow MUST BE MADE before work can be approved. <br /> ❑ Please contact inspecror and arrange br appointmenl. <br /> ❑ Was not able to perlorm inspecUon. <br /> [ ) CALL(425)_ __ _ _ FOR REINSPECTION — 24 haur nolice required. <br /> .��---��'��'�e� �/d�S--�►�'�� - <br /> �l��_���_lX/�.S�vD _. <br /> -- s�s�.���' -- ------ - <br /> Inspeclar�� `��� ----Dale _L�B "� _ <br /> fVAA(E/0o1 O�I�BAR.INC. <br />