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a:�t � • <br /> r � ,= ' PUBLIC WORKS <br /> , n �::; everett INSPECTION REQUEST <br /> � �. . �„ <br /> ` � Address ���� � .�1�� � �� /7/ �. <br /> : , <br /> '� �• Contractor 1.J2��}L� <br /> P . �n <br /> 1 �� ! '� � - A/Wf2 ri �� <br /> Owner <br /> 4 <br /> 3 �. � Date ��� Time <br /> � <br /> > S � 'i <br /> ,j,N'i; TYPE OF INSPECTION REQUESTED <br /> " ,.,'-t+ . '�,�.- � ❑ SIDESEWER <br /> , % • ' <br /> � 'r� rf ❑CURB/GUTTER/SIDEWALK <br /> ���t � - <br /> , �, '' r � '• ❑STREET <br /> n , <br /> ��� ° ' = r�. Fi1�4L <br /> � � <br /> � ` � <br /> ���"^ ��+'`��'�:�;�,; ' INSPECTIONREQUESTEDON onre @ nMe <br /> :;� ��� ;, <br /> � � ',���'� � ❑ APPROVAL ,�(PARTIAL APPROVAL <br /> � � �{i,`;:t'�:.,: • ❑ VIOLATION �dCORREGTION REQUIRED <br /> �' ❑Corrections listed below MUST BE MADE before work can be approved. <br /> , ,;.'yFn � � �, s O Please contact inspector and arrange for appointment. <br /> " '"' ` ' ❑Was not able to peAorm inspection. <br /> ' � '"3 � "° ❑ CALL 259•8811 FOR REINSPECTION--24 hour noticc �Pauired. <br /> `t, - .� ,�;�.'�+ , ' <br /> ,,;'' �^: ',r. _„ A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND P05 i�., �N�/ <br /> THE PREbiISES PRIOR TO OCCUPANCY. � <br /> � .. , <br /> I <br /> �;' l <br /> :s: — <br /> �.; � w <br /> .:,;�:;: _ <br /> �}'- <br /> . � � Inspector Date �� <br /> � <br />