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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date:l0-23— +Permit./Jk/140 2-7 <br /> Project/Owner: R- - <br /> Contractor: J�iNGIS AC G <br /> Site Address: <br /> TYPE OF INSPECTION REQUESTED <br /> [l Sewer Systems __ Street/Road Base <br /> ❑ Storm Drain Systems Roof/Footing Drains <br /> ater Systems _ Public Works Final <br /> u Curb/Gutter/Sidewalk <br /> [Other: - /Z C. /pro <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 /> n CALL(425) FOR REINSPECTION — 24 hour notice required. <br /> Ao •�S,.S <br /> Inspector Date <br /> EPSIR(6/09) <br />