Laserfiche WebLink
CLENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address <br />Contractor <br />Owner- LaAe.k _ Q3g <br />Date 3- a: t—Permit No. <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET 7 <br />°---S-i=-�-�—�13u.�Lclt�.Ss-cr✓_m���-e�d) <br />INSPECTION REQUESTED ON _ @ <br />DATE TIME <br />APPROVAL , ❑PARTIALAPPROVAL <br />❑ VIOLATION Q 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 />Inspeclore:zz//,�i h//� �/' Date <br />EPSIR (6/06) <br />DATABAR. INC. <br />