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ENGINEERING /PUBLIC SERVICES <br />INSPECTION REQUEST <br />rA- <br />Date:2--/0-10 Permit:Jr—x wo <br />Project / Owner: L'%_ _�J���✓�i� i__�� <br />Contractor: s� <br />Site Address: /- <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems Street / Road Base <br />Storm Drain Systems Roof / Footing Drains <br />P Water Systems Public Works Final <br />�I Curb / Gutter / Sidewalk <br />[j Other: <br />APPROVAL PARTIAL APPROVAL <br />VIOLATION CORRECTION REQUESTED <br />Corrections listed below MUST BE MADE before work can be approved. <br />i Please contact inspector and arrange for appointment. <br />Was not able to perform inspection. <br />CALL (425) FOR REINSPECTION — 24 hour notice required. <br />Inspector Date �✓ �/ ^ ` <br />EPSIR (6/09) DATABAR, INC. <br />