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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address Z19v? Alf, <br />Contractor. -__C 14 -6A�Mc---5 <br />` Owner <br />Date Permit No. PIVE)7z) <br />TYPE OF INSPECTION REQ TED <br />❑ SIDE SEWER C%G Sc�� <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED ON <br />T2-0z-1(0-0(o <br />DATE TIME <br />❑ APPROVAL PARTIALAPPROVAL <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 />a <br />EPSI R (6/06) DATABAR, INC. <br />