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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />WIE7T <br />{ <br />Date <br />Project / Owner: <br />Contractor: <br />• Site Address:_ <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems <br />❑Street /Road Base <br />IJ Storm ram ystems ❑ Root / Footing Drains <br />❑ Water Systems <br />❑ Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />[� Other: <br />APPROVAL ❑ PARTIAL APPROVAL <br />I VIOLATION ❑ CORRECTION REQUESTED <br />❑ Corrections listed below MUST BE MADE before work can be approved <br />❑ Please contact inspector and arrange for appointment. <br />Was not able to perform inspection <br />[, CALL (425) _-. _ FOR REINSPECTION — 24 hour notice required. <br />Inspector <br />[PSIR (0/09) <br />DAGBAR. INC <br />