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PUB�ic woRKs <br /> everett �NSPECTION RIEQUEST <br /> e Address -�-f-�-e-�Sl(�/�_ $-�r_ <br /> Contr2ctor �� <br /> Owner _ (1 �s � ,. l-fo�,.�, <br /> Date�j�l� Time <br /> TYPE OF INSPECTION RFQUESTED <br /> �SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> INSPFCTION REQUESTED ON_[i�� � �2;p� <br /> J 1F 11M[ <br /> PPROV/' ❑ PARTIAL APPROVAL <br /> ❑ VIOLATIC• ❑ CORRECTION REQUIRED <br /> ❑Corrections listed below MUST BE MADE betore work can be approved. <br /> ❑ Please contad inspector and arrange for appoiniment. <br /> ❑ Was not ablr to peAorm inspection. <br /> ❑ CALL 259•8�10 FOR REINSPECTION—pq hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> Tli� PREMISES PRIOR TO OCCUPANCY. <br /> ---__ <br /> Inspector � � � ' 'j / <br /> Date Cl <br />