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PUBLIC WORKS <br /> everett �NSPEC�ION REQUES•T <br /> � , <br /> Address � � p.- -- ����_ <br /> Contractor �� e �� _ <br /> Owner <br /> Date 3 d �v Time <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWEH <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> p � ,� C'' � a.,.. .�„• � ,c <br /> INSPECTION REQUESTED O " � @ -3 3v <br /> OAT TIME <br /> ❑ APPROVHL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION �'CORRECTION REQUIRED <br /> ❑Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259-8810 FOR REiNSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> e <br /> (4 e'�L. <br /> 0 <br /> •. / Y, -' <br /> U � <br /> e W\ '✓i <br /> �L / � <br /> Inspector � �� Date� <br />