Laserfiche WebLink
hlcl y� i�� �/3 <br /> PUBLIC WORKS <br /> everett �WSPECTION REQUEST <br /> � Address �r�l �o � vh�,n�h !�L �Y�y� <br /> Conlractor ��� r f /��A y� <br /> Owner <br /> Date '�-a 7- S'� 7ime <br /> TYPE OF INSPECTION REQUESTED <br /> i-t SI�E SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ;; STREET / �7 -� <br /> 1{, ��L3�QL�l.I��L�L�d-��n .IGY-Q0.4AQ/ <br /> ` INSP�CTION R -QUESTED ON �a � <br /> • �� DAIF lI1�� <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> � QLATION ❑ CORRECTION REQUIRED <br /> '� Corrections listed below b1UST BE MADE before work can be approved. <br /> C Please contact inspector and arrange for appointmenl. <br /> :'Was not able to Perform inspeclion. <br /> �_1 CALL 259-8811 FOR REINSPECTION-- 24 hour notice required. <br /> A CERTIFICATE OF CCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> -- --, <br /> InsPer.�or _ _ _ �J�.,/ —Dale C�S � - � <br /> . y <br /> U <br />