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�xyyxyC <br />Hx� <br />rC O <br />H <br />O H <br />1-3 <br />FOR <br />H t7 <br />OH <br />NOMg <br />t" H <br />HH <br />CA <br />PUBLIC WORKS <br />1h <br />everett INSPECTION REQUEST <br />y o ti <br />Address oels 17 a 5z s, .c) <br />Q <br />Contractor <br />Owner �Oe Zg <br />Date Time <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />[]STREET <br />INSPECTION REQUESTED O S �a g♦ �� �/� Dy <br />OAtE TIME <br />I <br />1 <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />' <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 259.8810 FOR REINSPECTION — 24 hour notice required. <br />r s <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY <br />Inspector <br />