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Pu���c woRKs <br />everett �NSPECTION REQUEST <br />� Address �6 �� �/�c. .,����� <br />Contractor r s � � � � f <br />Owner <br />Date Time <br />�� — <br />TYPE OFINSPECTION REQUESTED <br />�SIDE SEWER <br />❑ CURB/GUTTER/SIDE�VALK <br />❑ STREET <br />❑ <br />INSPECTION REQUESTED ON @ <br />oa.e nnie <br />❑ APPROVAL � PARTIAL APPROVAL <br />❑ VIOLATION O CORRECTION REQUIRED <br />O Corrections listed below MUST BE MADE betore work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not abie 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 />