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� <br /> PUB��c woRKs ' <br /> 'everett �NSPECTION REQUEST <br /> ' e ��Ns � s,�c _ y�, _ o� . <br /> � Address 3 (' O � �v G / S ��v /� <br /> Contractor ` !� G � S /`/ [ t /� <br /> Owner 1� O�i ti (,r <br /> Date � - `d � ' 9 01 Time _ 3 � y C� O <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDE SEWER <br /> O CURB/GUTTER/SIDEWALK <br /> �° ❑STREET <br /> ❑ <br /> INSPECTION FiEOUESTED ON / -a3%�,� /[l t U�} <br /> o�r[ tiMc <br /> � APPROVAL ❑ PARTIAL APPROVAL <br /> IOLATION ❑ CORRECTION REQUIRED <br /> ❑Correctlona Iisted below MUST BE MADE be(ore work can be approved. <br /> ❑ Please contact inspector and arrange lor appointment. <br /> ❑Was not eble to perform Inspectlon. <br /> ❑ CALL 259•8810 FOR REINSPECTION—24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � <br /> �� �� -,�►�� T'�— <br /> Inspecta Date } <br />