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PUBLIC WORKS <br /> everett �NSPECTION REQUEST <br /> � Address _��SoZ�' � •�xri1 ! c�l� <br /> Contractor <br /> Owner � U /N � �����J <br /> Date ��l�1,�d�'_ Time <br /> TYPE OF INSPECTION REOUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GU71 E9/SIDEWALK <br /> ❑ STREET <br /> � r�a���.�— <br /> INSPECTION fiE UESTED ON (a <br /> onrE IiME <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION `�'CORRECTION REQUIRFD <br /> ❑Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange tor appointment. <br /> ❑Was not able to pe�form inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> i A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> i THE PREMISES PRIOR TO OCCUPANCY. <br /> ` .,f � o� <br /> 0 o V f <br /> � � -�— <br /> ��-,a e 7 ` r � �� � � p o T <br /> d �`� 7�v� t _ <br /> / � <br /> � <br /> /: � <br /> Inspector - / Dat�� / � <br /> � � <br />