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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> , <br /> Date: 4 Permit: - 03 'o V) <br /> Project/Owner: <br /> Contractor: _ <br /> Site Address: I ® x4//V/A - V� <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems � Street/Road Base <br /> F <br /> 1 Storm Drain Systems F_ Roof/Footing Drains <br /> Water Systems Public Works Final <br /> Curb/Gutter/Sidewalk <br /> 1 Other: /Ll4_LA.C_ L'4697ZJ#06 <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 /> 4�; JA)C vim wW�1 <br /> Inspector /�//"�f _ Date <br /> EPSIR(6/09) DATABAR,INC. <br />