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PUgLIC WORKS <br /> everett �NSPEGTION REQUEST <br /> � Address Z�/.3�0 �(1��� <br /> Contractor <br /> Owner �P ��7-P!' <br /> Date � ��S -7-S Time <br /> TYPE OF I�'SPECTION REQUESTED <br /> i SIDE SEWER �� C1�� /��,��, / 30Z/G� <br /> /' <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REQUESTED ON (<� <br /> nnrE ,u.�.i- — <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE be(ore work can be approved. <br /> ❑ Please contact inspector and arrange tor appointment. <br /> ❑ Wa> not able to perform inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> P.CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> `/ <br /> — � / <br /> _ / <br /> l <br /> Inspector _ Date _ <br />