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u ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> 2 <br /> Date: /—Z2— 15Permit:PW )/3 1 O + 9D) <br /> Project/Owner: <br /> Contractor: <br /> Site Address:_fc <br /> TYPE OF INSPECTION REQUESTED <br /> L Sewer Systems ❑ Street/Road Base <br /> ❑ Storm Drain Systems 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 /> e97e5 44C-frA&L <br /> Inspector Date Z �v <br /> EPSIR(6/09) DATABAR,INC. <br />