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PIJBLIC WORKS <br /> everett �NSPECTION REQUEST <br /> � Address ��:,, ` ���.�. <br /> Contractor <br /> Owner <br /> Date � Time �' - � � <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REQUESTED O ��- 8 � @ -�� / S <br /> o r[ iiraE <br /> Q APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> O Corrections lisled below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspeclor and arrange for appointment. <br /> ❑ Was not able lo periorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> � A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED OfV <br /> � THE PREMISES PRIOR TO OCCUPANCY. <br /> Inspeclor � ' / /^ Date �7 c <br /> t <br />