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everett <br />e <br />PUB�ic woRKs <br />INSPECTION REQUEST <br />Address I�f � �61�� �� <br />Contractor C-1 ����.�� <br />Owner r�l',C�t �l�i C #.-" 3� <br />� <br />Date 1 c�"� :��� Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET�1 <br />� �•� S.LI�1i <br />INSPECTION REQUESTED ON @ <br />DAt[ tiN.E <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE betore work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspeclion. <br />❑ CALL 259-8810 FOF REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />� � <br />Inspector l'�� �i / a���Date/�/ �' � � <br />