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PUBLIC W�RKS <br /> everett �NSPECTION REQUEST <br /> - . - _ ' � Address � �- v l <br /> Contractor �/'� <br /> Owner � . . <br /> � <br /> • - Date_�-7� � <br /> �- l Time � � <br /> . �. � -�.. ;�i <br /> " . TYPE OF INSPECTION REQUESTED <br /> -. SIDE SEWER ' I <br /> ❑CURB/GUTTER/SIDEWALK <br /> . i . <br /> ❑STREET _: I <br /> , � : n n- � �,�.:;� I <br /> ❑ <br /> INSPECTION REQUESTED ON @ <br /> - � OaiE iIME <br /> �' � APPROVAL ❑ PARTIALAPPROVAL I � '.�. . <br /> w' ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ,,. . - <br /> G Corrections listed 6elow MUST BE MADE before work can be approved. <br /> . � � � ❑ Please contact inspector and arrange for appointment. , � <br /> ' ❑Was not able to pedorm inspection. • <br /> ❑CALL 259•8810 FOR REINSPECTION —24 hour nolice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> '. - THE PREMISES PRIOR TO OCCUPANCY. ..-�5r ;; � <br /> . � ` < < c II <br /> o ` <br /> .v � <br /> �- C i , : <br /> r <br /> i <br /> I <br /> j �. _ �._ <br /> Inspector � Date / y <br /> r <br />