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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> aFFT <br /> Date: 4-'z �Permit: <br /> Project/Owner: P✓ ; <br /> Contractor: X/, „4f � <br /> Site Address: C �Z <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems I Street/Road Base <br /> Storm Drain Systems n Roof/Footing Drains <br /> Water Systems Public Works Final <br /> Curb/Gutter/Sideweilk <br /> )Q Other: e fjL-;, 10W <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 /> CALL(425) FOR REINSPECTION — 24 hour notice required. <br /> CC <br /> Inspector Date L 7 <br /> EPSIR(6/09) DATABAR,INC. <br />