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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: URC S'- t(s Permit: r_ . W ILU D-00i <br /> Project/Owner: mark <br /> Contractor: <br /> Site Address: - (A L1 / /Ci1 e <br /> TYPE OF INSPECTION REQUESTED <br /> Sewer Systems E Street/Road Base <br /> Storm Drain Systems J Roof/Footing Drains <br /> Water Systems Public Works Final <br /> Curb/Gutter/Sidewalk <br /> F Other: <br /> J 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 /> Ole <br /> Inspector Date w 2_T <br /> EPSIR(6/09) DATABAR,INC. <br />