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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: /-44#f/77-- <br /> Project/Owner: <br /> Contractor:- <br /> Site Address: <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ Sewer Systems [ Street/Road Base <br /> ❑ Storm Drain Systems ❑ Roof/Footing Drains <br /> ❑ Water Systems [ Public Works Final <br /> ❑ Curb/Gutter//,Sidewalk <br /> Other:_ ei/' rte-,/ 7t►/�i9TeA�� �, 1a� <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 /> _ oS <br /> G t- 71/4 <br /> � -s� 'csTd- <br /> �T. � - <br /> a A <br /> Inspector Date <br /> hhbzSIR(6/09) DATABAR,INC. <br />