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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Dater �3�`'Permit: <br />Project / Owner: <br />Contractor: <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />Ll Sewer Systems —i Street / Road Base <br />EJ Storm Drain Systems Roof / Footing Drains <br />[ I Water Systems Public Works Final <br />Curb / Gutter / Sidewalk <br />Other: �G'+�.8/�� ��-• �%9CJ `�r�Q�/j�_ <br />APPROVAL <br />VIOLATION <br />PARTIAL APPROVAL <br />CORRECTION REQUESTED <br />[_I Corrections listed below MUST BE MADE before work can be approved. <br />L 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 />- W ir✓C'� .T � -- <br />- <br />Inspector Dale <br />EPSIR (6/09) <br />