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PUBLIC W'ORKS <br /> everett �NSPECTI�)N REQUEST <br /> � Address � �� ���7 � )T/`Yz.. >� <br /> Contractor T�l`/` �= % <br /> -� � , <br /> wner �.� .->. .—;_ Y"'—�Lf�s—c- <br /> , , • <br /> Date S �- Time <br /> TYPE OF INSPECTION REOUESTED <br /> �DE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REQUESTED ON � ? � @�L��, <br /> nr[ r� <br /> PPROVAL ❑ PARTIAL APPROV� _ <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Ccrrections listed below MUST BE i fADE before workcan be approved. <br /> ❑ Please contact inspector and arrange for appointment. . <br /> ❑ Was not able to pe�form inspection. <br /> ❑CALL 259•88t0 FOR REINuPECTION—24 hoc�notice requirec'. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMI,riES PRIOR TO OCCUPANCY. <br /> 1 <br /> / C� G--�-- <br /> T" <br /> i/� � � <br /> Inspector � Date 5 Z % <br /> / <br />