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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: Permil <br />Project I Owner <br />Contractor <br />Site Address: Z4vZ 9 <br />TYPE OF INSPECTION REQUESTED <br />Sewe• Systems Street / Read Base <br />Storm Drain Systems Root / Footing Drains <br />Watfn Systems Public Works Final <br />Curb I Gullet / Sidewalk <br />Other <br />APPROVAL PARTIAL APPROVAL <br />tOLATI N CORRECTION REQUESTED <br />Correcao a 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 />�Sr/QTF�T 7C <br />Of Ix'✓J.� Sibs Gi.✓� <br />Lc% Cbrz of -!;7AL r/2a <br />i <br />InspectorC��/��/1C�r/ <br />FPSIP WINS DATASAR. INC <br />