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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date:4�z� s Permit: l /��� <br /> Project/Owner: d v. <br /> Contractor: )*a <br /> �� <br /> Site Address: ` 53 <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems Street/Road Base <br /> Storm Drain Systems Roof/Footing Drains <br /> Water Systems Public Works Final <br /> Curb/Gutter/SideValk <br /> L 4� ./���Other: "L�C) �/� SV - <br /> � <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 /> i Was not able to perform inspection. <br /> CALL(425) FOR REINSPECTION — 24 hour notice required. <br /> Inspector Date <br /> EPSIR(6/09) UATABAR.INC. <br />