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PUBLIC WORKS <br /> everett �NSPECTION REQUEST <br /> � Address 11��—EYl�- � �T IJ1� `7� _ <br /> Contractor �- 11f(�. ��11,�.�'1 `(,�� <br /> Owner �_ �I( l"LL�� <br /> Date "�7-R""I�L-- 1'ime � •�� <br /> TYPE OF INSPECTIGN REOUESTED <br /> I�SIDE SEWER <br /> '7 CURB/GUTTER/SIDEWALK <br /> ti S] STRE[T <br /> C_1 ___f_—. �I-LCI�I ��-� <br /> INSPECTION REOUESTED ON � n D r.��C J <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> G Corraclions iisted below tdUST BE MADE belore work^an be approved. � <br /> ��] Please contacl inspector and arrange lor appointnent. <br /> ❑ Was not a61e to pertorm inspection. <br /> � CALL 259-8810 FOF REINSPECTiON—24 hour notice req�ired. <br /> A CENTIFICATE OF OCCUPANGl'SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> i <br /> � �/ � �, �... <br /> Inspector � �=' _Date� � <br /> � <br /> ` �' <br />