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ENGINEERING / PUBLIC SERVICES <br />- INSPECTION REQUEST <br />rrr <br />ei <br />DatePermit: �LV CAA -UO <br />Protect / Owner: �'/f�`1j7/ L'd41141rr. <br />Contractor. <br />Sito Address: <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street / Road Base <br />Storm Drain Systems �f±oof /Footing Drains <br />Water Systems Public ors Final <br />Curb / Gutter / Sidewalk <br />Other, <br /><APPROVAL PARTIAL APPROVAL <br />—VTOtATnN 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 — Date Ir(J/� <br />EPW fE/ell DAIAZAR. INC. <br />