Laserfiche WebLink
PUB�ic woRKs <br /> everett �NSPECTION REQUEST <br /> e - <br /> Addre�s � T� iS /��o.-ro � �..-- <br /> Contractor <br /> Owner I� rn�� D,- bc,� � <br /> Date Time <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> �STREET <br /> ,� 3�.- (�: ;. <� ��� �� �,/��� <br /> ==, <br /> I INSPECTION REQUESTED ON @ <br /> I onic .in�e i <br /> j .�PPROVAL ❑ 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 for appointment. <br /> ❑ Was not able to peAorm inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION—24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUEU AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> --r---� _ -- <br /> � <br /> / '��T <br /> Inspector � Date� <br /> I <br /> I <br />� <br /> I <br />