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CLENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address Z6 <br />Contractore�t� �51 <br />Owner %2a <br />Date �_/ `` Permit No.1""eV0_70q—d17 <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREE <br />5; <br />x /�/cr 0V,e, <br />INSPECTION REQUESTED ON <br />DATE TIME <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION CORRECTION REQUESTED <br />4Corrections 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 C Date <br />EPSIR (6/06) DATABAR, INC. <br />