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PUBLIC WORKS <br /> everett �NSPECTION REQUEST <br /> � Address / �.Z� /C �la,j�wd �� <br /> Contractor <br /> Owner ��� � <br /> Date�z y'�i� Time <br /> TYPE OF INSPECTION REQUESTED L f L <br /> � <br /> L7 SIDE SEWER PW��m� Q6�31,/ <br /> C CURB/GUTTER/SIDEWALK T <br /> ❑ STREET � <br /> � 11 <br /> INSPECTION REQUESTED ON �p t —@ r�ME <br /> ❑ APPROVAL ❑ PARTIAL APPROV/iL <br /> ❑ VIOLATION CJ CORRECTION REQUIRED <br /> �� <br /> ❑Corrections listed below MUST BE MADE before work can be apProved. <br /> ❑ Please contact inspector and errange for appointment. <br /> ❑Wes not able to perlorm inspection. <br /> ❑ CALL 259�8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATF OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OC�UPANCY. <br /> Inspector - _ Date �i����L / <br />