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Pus�ic woRKs <br /> everett �NSPECTION REQUEST <br /> e �l� � <br /> Address Lc�/f E���.c�>tsnl lt/,'iY <br /> Contractor �E1�GA'd� �':oN1N1� C/f1L <br /> Owner s5d _Y_�9-N/ <br /> Date /w -/� —`�O Time `r3' :`f-S <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> -�7" �/N/4� <br /> INSPECTION REQUESTED ON�-`�n @ <br /> onre nMr. <br /> APPROVAL ❑ 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 /> O 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 /> Inspector �/ ��_pat��. �c °' <br />