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PUBLIC WORKS <br /> everett �NSPECTION REQUEST <br /> � �lO $e <br /> � Address / (�J��^ n_��`� <br /> + Contractor � <br /> Owner <br /> Date <br /> Time <br /> \ / TYPE OF INSPECTION REQUESTED <br /> I�SIDE SEWER <br /> .� <br /> '7 CURB/GUTTER/SIDEWALK <br /> �, STREET <br /> C <br /> INSPECTION REQUESTED ON <br /> —�—@— <br /> � PPROVAL oA E "�,,� <br /> [��7 VIOLATION � PARTIAL APPROVAL <br /> ❑ CORRECTION REQUIRED <br /> ❑ Corrections listad below MUST BE MADE before work can be approved. <br /> u Please contact inspector and arrange for appointmenl. <br /> ❑ Was not able to peAorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTIOtJ—2q hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND pOSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY, <br /> Inspecto 1 <br /> DateG' �-� G <br />