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Pus�ic woRKs <br /> everett ��$pECT10N REQUEST <br /> � Address rS��'2Z -,�/I�� I,��IJG ���i <br /> Contractor <br /> Owner �1��-?���n�/� � <br /> Date `� `�� -�� Time '��5�� <br /> TYPE OF INSPECTION REOUESTED <br /> D SIDE SEWER <br /> ❑ CUFB/GUTTER/SIDEWALK <br /> i1STREET ' . <br /> ��n <br /> INSPECTION REQUESTED ON �@< �G O <br /> � ,c ,��,n <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> OLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below MUST BE MADE betore work can be approved. <br /> ❑ Flease conlact inspector and arrange for appointmenl. <br /> ❑Was not able to perform inspection. <br /> ❑ CALL 253-8810 FOR RERJSPECTION — 24 hour nolice required. <br /> A CERTIFIC,4TE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> TH[ PREMISES PRIOR TO OCCUPANCY. <br /> i� � <br /> i <br /> Inspector <br /> �/� Date % �i <br /> � � / <br />