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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address `3 Z" �L. s-�� o.. Z7 <br />Contractor <br />Owner ' <br />Date �'- `% - 7 <br />Permit No. C— �� <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />ACURB/GUTTER/SIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED ON @ <br />DATE <br />TIME <br />Id APPROVAL i ❑ PARTIAL APPROVAL <br />❑ VIOLAT N ❑ CORRECTION REQUESTED <br />j Corrections listed below MUST BE MADE before work can be approved. <br />j Please contact inspector and arrange for appointment. <br />J Was not able to perform inspection. <br />• CALL (425) 257-8810 FOR REINSPECTION — 24 hour notice required. <br />- - ----------------- <br />Inspector ���/ ,�� ,�//�/� ''ate ea <br />EPSIR (6/06) DATABAR, INC. <br />