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PUB��C WORKS <br /> everett �NSPECTION REQUEST <br /> � Address �� �.Z � /��, 5'F— <br /> =� <br /> Contractor�.�_�� <br /> Owner � 0 4 <br /> � � �O� I �e � <br /> Date <br /> Time <br /> TYPE OF INSPECTION REQUESTED <br /> . SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> ❑STREET <br /> ❑ <br /> INSPECTION REQUESTED p 7 // �j @ f�;/y <br /> o.�rE r� iMc <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑Corrections listed below MUST BE MADE be(ore work can be approved. <br /> ❑ Please contad inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259•8870 FOR REINSPEC710N— 24 hour notice required. <br /> A CERTIFICATE OF OCCUPA�:i;Y SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR Tfi OCCUPANCY. <br /> ---�--_�'� �. - <br /> Inspector_�� � �� /� <br /> Dat L <br /> / <br />