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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address /o/ZtO3 - w1o�/7;; 101 <br />Contractor V14—Rle e-l< <br />Owner <br />Date`_ y 00 Permit No. <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />rX _ -51o lip Sim. <br />INSPECTION REQUESTED ON @ _ <br />DATE TIME <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) 257.8810 FOR REINSPECTION — 24 hour notice required. <br />Inspector CL/ G/�/��y+2 ate <br />EPSIR (6/06) DATABAR, INC. <br />