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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> ,;Wr*'7T <br /> Dater.®��ermit: � <br /> Project/Owner: - <br /> Contractor: <br /> Site Address: <br /> TYPE OF INSPECTION REQUESTED <br /> _ Sewer Systems J Street/Road Base <br /> I Storm Drain Systems J Roof/Footing Drains <br /> Water Systems i Public Works Final <br /> Curb/Gutter/Sidewalk,��� >� P <br /> Other: <br /> APPRO 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. -fz.SO,$ 3017H <br /> ❑ CALL(425) FOR REINSPECTION — 24 hour notice required. <br /> Ac).--V-- Thr <br /> -/3 pc,7r,zWirlS'©/Y Amp <br /> �!�1Cisl 47- <br /> nspector <br /> EPSIR(6/09) DATABAR,INC. <br />