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i <br /> i <br /> PUBLIC WORKS <br /> everett �NSPECTION REQUEST <br /> � Ada�es5 ,�?3f�� ('n�n� ,� <br /> Contractor ___ <br /> Owner l���yq� " <br /> Date � � — I ((Z—�� Time <br /> TYPE OF INSPECTION REQUESTED <br /> [7 SIDE SEWER <br /> 7 CURB/GUTTER/SIDEWALK <br /> ❑STREET <br /> � �1 � { C,n � �. <br /> INSPECTION REQUESTED ON _C <br /> o�rc n�ee <br /> ❑ APPRUVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOI. A'''�C�N O CORRECTION REQUIRED <br /> ��� <br /> O Cor�e�:b�ns listed below PdUST BE MADE belore work can be approved. <br /> ❑ Pleeae i �ntect inspector and arrange for appointment. <br /> ❑ Wes .^ut,ble to perlorm inepectlon. .� <br /> ❑ C4LL 259-8810 FOR REIhSPECTION —24 hour notice required. � <br /> A CERTIFICATE OF OCCUPAt�CY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> ' � I I� <br /> Inspecto� ' Date _ , � <br /> i <br />