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rt ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: Per t:VlJ �l f ®�� <br /> 3 <br /> Project/Owner: <br /> Contractor: <br /> Site Address:_ <br /> TYPE OF INSPECTION REQUESTED <br /> J Sewer Systems Street/Road Base <br /> Storm Drain Systems i Roof/Footing Drains <br /> Water Systems Public Works Final <br /> Curb/Gutter/Sidewalk <br /> Other: <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 /> �- C4 ve z <br /> VOWAI5.P©u715 To -Pi5c <br /> ©N 9615075 t V o,� V--5 T W-Aaio <br /> t- t LL Iii 6-Lp <br /> Inspector !q►VLl�: 1V Date <br /> EPSIR(6/09) <br />