Laserfiche WebLink
Pus�ic woRKs <br /> everett �NSPECTION REQUEST <br /> � Address .�° a3 � �..c �ad�N i <br /> Contractor ��Q � a � ��� ` C <br /> Owner �3 0� � � <br /> Date� � 2 Time <br /> TYPE OF INSPECTION REO��U��TE� S_ �r� <br /> �SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑STREET <br /> ❑ 2 . a� <br /> INSPECTION REQUESTED OPL � ��E �- � ,,ME <br /> ❑ PARTfAL APPROVAL `� <br /> APPROVAL w.=,, <br /> ❑ VIOLATION ❑ CORRECTION RE�UIRED ,, �,,,, <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> �] Please contact inspector and errenge tor appointment. <br /> C]Wes nol ablo to perform Inspeclion. <br /> ❑CALL 259•8810 FOR REINSPECTION —24 hour notice required. .. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PRFMISES PNIOR TQ OCCUPANCY. <br /> � � , :��i <br /> � ;t F�;� <br /> � � r..�.,, '�r�� <br /> , r} ,�� <br /> b � I :a,� <br /> _ .:�a, <br /> r� ��f. <br /> � � <br /> �— � 1 _ � "�'o � o t� c ' � 'r'�,. <br /> �-/S I'4 ' t bv o <br /> I <br /> YI <br /> 5 . <br /> � Date rf,�/ Z� � . . . � ���'�, '�* <br /> Inspector <br />