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ENGINEERING 6 PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address la-50Z ,� T �/c S Z--- <br />Contractor /e 77 1,-a . <br />Owner <br />Date ,/, - 2 ':� - Permit No. <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED ON <br />DATE <br />❑ PARTIAL APPROVAL <br />TIME <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 REINSPECTIAIN — 24 hour notice required. <br />Inspector —./�iCJ�.�s a e 'zg _ c:'tg~ ta�3 <br />EPSIR (6/06) DATABAR, INC. <br />