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4LENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: 4Z-Permit: <br />Project / Owner: <br />Contractor: <br />Site Address: <br />�O� %4r` ST f• -- <br />TYPE OF INSPECTION REQUESTED <br />Sew stems <br />(I Street / Road Base <br />Storm Drain Systems j. j Root / Footing Drains <br />❑ Water Systems <br />❑ Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: --- <br />--�- <br />APPROVAL ❑ PARTIAL APPROVAL <br />-t--FVIOL7MON [ ] CORRECTION REQUESTED <br />r. <br />L Corrections listed below MUST BE MADE before work can be approved. <br />D Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL (425) _. _____ FOR R�EIIN-SSPPECTION - 24 hour notice required. <br />IV <br />Inspector. <br />EPSIe (6109) <br />