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PUBLIC WORKS <br /> everett iIdSPECTION REGIUEST <br /> � Address 1 �� ��'--Q-1�=-` � <br /> Contractor ��X� � <br /> Owner ����s ly r�� i..:.,�; <br /> Date _ Time _ _ <br /> TYPE OF INSPECTION REQUESTED <br /> �IDE SEWER <br /> CU RBlGUTTER/SIDE WALK <br /> STREET <br /> a � <br /> INSPECTION REQUESTED OI�L1 d o' (a �` � � <br /> ,,,, � ,��.�� <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> C VIOLATICN ❑ CORRECTION REQUIRED <br /> i-; Corrections listed belov+ MUST BE MADE before work can be approved. <br /> :; Please conlact inspecior and arrange tor appointment. <br /> ❑Was not able to pertorm inspection. <br /> ❑ CA�L 259-8810 FOR REINSPECTION —24 hour nolice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND PO.'TED ON <br /> TIiE PREMISES PRIOR TO UCCUPANCY. <br /> � <br /> Insnector . � Date� � c' �r_ <br /> �` <br />