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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address ®-3 4 `4 ® <br />Contractor ayV5T. <br />Owner Z?�q ple,(N/ <br />Date 61 - Z-4 0 t Permit No.� <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />INSPECTION REQUESTED ON <br />DATE <br />N <br />TIME <br />XA❑ 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 <br />EPSIR (6/06) DATABAR, INC. <br />