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PUBLIC WORlCS <br /> everett 1N5PECT10N REQUEST <br /> � [L ,G M C �. r �� <br /> Address �—/J <br /> Contractor �� � `� Iti��� <br /> Owner <br /> Date 7 �r�ot—� 7ime <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET �nQ� <br /> � pi� �pr.�,,un :,�i;�n� .- �t,n,� y <br /> INSPECTION REQUESTED ON —@ <br /> onrE nME <br /> ❑ APPROVAL 0 PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑Corrections listed below MUST BE MADE betore work can 6e approved. <br /> ❑ Please contact inspector and arrange lor appointmenl. <br /> ❑VJas not able to periorm 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 /> i <br /> �/ � � 2,� Date° �� � <br /> Inspector " _� <br />