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CLENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST J <br />Address 9/ <br />a� <br />Contractor_ <br />Owner <br />Date �—f$—t Q38 <br />( —Permit No. <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />❑ CLtj% <br />INSPECTION REQUESTED ON <br />TIME <br />�r.,rrnvvHL ❑ 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 />S/7 <br />Inspector�_,�,/ G//✓ firDateQ-_--------- <br />EPSIR (6/06) <br />DATABAR. INC. <br />