Laserfiche WebLink
Pus�ic woRKs <br /> everett �NSPECTION REQUEST <br /> � Address '�oo.� C✓ Cw �..✓a �D - Yi_6o B�o� <br /> Contractor <br /> Owner ���� �' <br /> Dafe /9- -'✓''� Time <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> ❑ STFEET � <br /> ��i.eiw s. <br /> � c'.."��c� c�:o <br /> INSPECTION REQUESTED ON .�Si+v I <br /> o�rc @ iiME '� <br /> ' ❑ APPROVAL ❑ PARTIAL APPROVAL I <br /> ❑ VIOLATION I�CORRECTION REQUIRED <br /> ❑Correctlons Iisted below MUST BE MADE before work can be approved. <br /> ' ❑ Please conlact inspector and arrange lor appointment. � <br /> � . �. ! ❑Was not able to perform Inspeclion. '� <br /> 1 ❑CALL 259•8810 FOR REINSPECTION—24 hour notice reqWred. <br /> , ' A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON ' <br /> THE PREMISES PRIOR TO OCCUPANCV. <br /> c t a _ <br /> �., J �. S • / <br /> ��� � �'d ,�C) ..J �r?C�n..f/�Ji.�Y��IL <br /> IT ct a ` � �t /� r� J: �i c/� . <br /> l � 1�/_/ <br /> Inspector Date � �9v <br />