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PUBLIC WORKS <br /> everett �NSPECTION P3EQU�ST <br /> � Address __j�•�.2 � � 57L�SE <br /> Contractor � < <� �S <br /> �J <br /> Owner <br /> Date�� Time — <br /> TYPE OF INSPECT�ON REQUESTED <br /> �DE SEWER <br /> ❑ CURB/GUTTER!SIDE\NALK <br /> f ! STREET <br /> [i --_ <br /> . <br /> INSPECTIGN REQUESTED ON S `� �' «��-��� <br /> 1 All. ' ���- <br /> PPROVAL ❑ PARTIAL APPNCVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST B[ MADE belore work can be aUP�oved. <br /> ❑ Please contact inspeclor and arrange tor appointment. <br /> ❑Was not able to pertorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hcur notire required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POST�D ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> / <br /> . � <br /> Inspector � � ��'%��Date � ` <br />