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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Date: I ZZ Permit: <br /> Project/Owner: `� <br /> Contractor: V �� ✓I� ?�(o�li`SGg`?a <br /> Site Address: ���/ <br /> TYPE OF INSPECTION REQUESTED <br /> KSewer Systems Street/Road Base <br /> Storm Drain Systems Roof/Footing Drains <br /> i Water Systems Public Works Final <br /> I Curb/Gutter/Sidewalk <br /> Other: <br /> XAPPROVAL 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 /> 74 o� vr - <br /> • I .�fr ► <br /> Inspector C Date <br /> EPSIR(6/09) DATABAR,INC. <br />