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�a��b <br />C <br />everett <br />� <br />Pue;�ic woRKs <br />INSF�ECTION REQUEST <br />Address _� 3 � 5 W ��� �f% <br />Contractor <br />�U�o� o co <br />�Wf10( ( �-� � <br />Date�� Time <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SE�NER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET � <br />i <br />❑ T� � <br />�-.��-� @ � .� � <br />INSPECTION REQUESTFD O � Oq „A,E <br />.4PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections lisled below MUST BE MADE betore work can be approved. <br />❑ Please contact inspector and arrange tor appointment. <br />❑ Was not able ;o perform inspection. <br />O CALL 259•8810 FOR REINSPECTION —.^-4 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />/ �''/ <br />� _ <br />�. . �`/ � i�'_.��� <br />