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PUBLIC WORI�S <br /> everett �NSP�CTION REQUEST <br /> � Address ��3�.Z �S� �� �� <br /> Contractor _�� � <br /> � Owner �{ c 5 � ,� 1 <br /> �9 •''_'�"� <br /> Date d" �/ Time <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDe SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> ❑ STREE? <br /> ❑ <br /> INSPE(' 'ON REQULSTCD O 4 � � <br /> �-_ OAiL j� <br /> �PPRO'�AL ❑ PARTIAL APPROVAL • <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before werk can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perlorm inspection. <br /> ❑CALL 259-d810 FOR REINSPECTION— 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> --m--�-�—F �b <br /> . Inspector � Date <br /> / <br />