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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: d� Permit: <br />Project / Owner: <br />Contractor: <br />Site Address: <br />TYPE OF INSPECTION REQUESTED <br />ewer 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 />❑ 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 />Inspector <br />EPSIR (6/09) <br />DATABAR, INC. <br />