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everett <br />e <br />Date _� <br />PUBLIC WORKS <br />INSPECTION i�EQUEST <br />Address � �' S -� �� <br />Contractor / �, • •__ _. <br />Owne��1 i'��� � <br />Tii�:a _ <br />TYPE OF INCiPECTION REOUFSTED <br />SIDE SCWER <br />❑ CUFB/GUTTER/SIDEWALK <br />❑ STFEET <br />❑ <br />INSPECTION REOUESTED <br />(� C����') <br />➢MI <br />j�APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections lis�ed below MUST BE MADE belore work can be apPioved. <br />❑ Please contact inspector and arrange lor appoiMment. <br />❑ Was not able to perform inspection. <br />❑ CALL 259•8810 FOR REINSPECTION — 24 hour natice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspector � F�'�.- �--L--;—�—Date /:'�-��!� <br />