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QUB�ic woRKs <br />everett �NSPECTION REQUEST <br />� Address r�' 1 � �i , �) �i, t <br />Contractor , �'� /� � <br />Owner <br />Date �� - � �—�� T�me <br />TYPE OF INSPECTION REQUESTED <br />!' SIDE SEWER <br />;.-7 CURO/GUTTER/SIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED ON �Fr� @ ,�M,: <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />il Corrections listed below MUST 6E MADE before work can be approved. <br />�_] Please contact inspeclor and arrange for appointment. <br />;7 Was r.ot able to pertorm inspection. <br />❑ CALL 259-8B11 FOR HEINSPECTION -- 24 hour no�ice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />//_1�,� �/,:�.� <br />Mspector . �-"w���N Dale -- <br />