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ENGINEERING / PUBLIC SERVICES <br />Lrr INSPECTION REQUEST <br />Project / Owner: <br />Contractor: <br />Site Address Z ~y- <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street / Road Base <br />Storm Drain Systems Roof / Footln <br />Water Systems Pu is or cs trial <br />Curb / Gutter / Sidewalk <br />Other: <br />APPROVAL PARTIAL APPROVAL <br />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 />w�37_ si1'6 �� .STlz��+�iz6 <br />