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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: -{A Permit: U) 30Z <br /> Project/Owner: J <br /> Contractor: <br /> Site Address: <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/Sidewalk <br /> ❑ Other: <br /> [] APPROVAL AL <br /> ❑ VIOLATION .(tRRFCT10N RFCJUESTE=�D� <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 /> InspectorC�� <br /> EPSIR(6/09) DATABAR.INC. <br />