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i <br /> � <br /> I <br /> ( <br /> PUBLIC WORKS <br /> everett �NSPECTION REQUEST <br /> � Address 1���!!lIT <br /> Coniractor r%fD�Pn <br /> Owner ✓Q u�^��/l <br /> Date Time <br /> TYPE OF INSPECTION REOUESTED <br /> �Cj�DE SEWER ' <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REQUESTED ON @ <br /> pAIE 11ME <br /> APPROVAL ❑ PARTIAL APPROVAL I <br /> ❑ VI(�LATION ❑ CORRECTION REQUIRED � <br /> ❑ Corrections listed below MUST BE MADE betore work can be approved. ( <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑Was nol able to perform Inspection. <br /> I7 CALL 259•B810 FOR R[INSPECTION —24 hour notice required. � <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON I <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> I <br /> � <br /> � <br /> � <br /> I <br /> - I <br /> �- y � <br /> Inspector �� Date � �- � I <br /> � <br /> I <br /> I <br />