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Pus�ic woRKs <br /> everett �NSPECTION REQUEST <br /> � Address � /`� r/{�/�!t /7`G� — <br /> Contractor <br /> Owner ��p �e <br /> Date �—�5 �'S 7ime <br /> TYPE OF INSPECTION REQUESTE1D <br /> ❑ SIDESEWER �E/ 1�1•✓� ��!).3J <br /> C1CUR8/GUTTER/SIDEWALK <br /> ❑ STR T <br /> �-- ��� <br /> INSPECTION REQUESTED O�L pATE @ „ME <br /> APPROVAL ❑ PARTIAL APPROVAL � <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> �� <br /> U Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointmeni. <br /> ❑ Was not able 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 /> I <br /> Inspector Date ��O - ✓ <br /> _ � <br />