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, _ I .. <br /> ____ ... .....--.«-.'._,...–_...._... _ <br /> .. . _ � <br /> l <br /> i Pus�ic woRKs <br /> everett �NSPECTION REaUEST <br /> i � `��,:v G .B <br /> iAddress //�'�/ �iF�?�^, F�Ti .��14Y <br /> � � <br /> , Contractor �'a�s�.a-1�,� �'nti^n^�r?�iAL _ <br /> I <br /> � Owner ._,S�Y�� � / — <br /> i Date / - � – 9�) 7ime � 4=S <br /> ! TYPE OF INSPECTION REG�ESTED <br /> � ❑ SIDE SEWER <br /> � <br /> � ❑CURB/GUTTER/SIDEWALK <br /> i <br /> ❑ STREET <br /> i _� /�) -L-- — <br /> � <br /> ! INSPECTION REQUESTED ON � –opr(�E �7_'f� @ ri E <br /> � C�APPROVAL ❑ PARTIAL APPROVAL <br /> ! ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> I <br /> j ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> � ❑ Please contact inspector and arrange for appointment. <br /> ❑Was not able to pertorm 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 /> � <br /> � <br /> I <br /> i <br /> i <br /> � <br /> � <br /> � � <br /> a ,:;� ( � / <br /> ! Inspector !L„4,,.��"� � J - �"" %� <br /> _'�_ <br /> Datel�� . . <br />