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Pus��c woRKs <br /> everett �NSPECTION REQUEST , <br /> � � Address �( d� i7 �� ��� S� <br /> ' Contractor <br /> �� � d <br /> Owner �"' � <br /> � ' Date Time <br /> I .. <br /> i <br /> TYPE OF INSPECTION REQUESTED <br /> � � �1DESEWER <br /> � �'' ❑ CURB/GUTTER/SIDEWALK <br /> �'�' ❑STREET <br /> �;: <br /> ,i ❑ -- <br /> . ; r.�'�.. . @ <br /> ,� INSPECTION REQUESTED OPJ ppTE *�ME <br /> � .' APPROVAL ❑ PARTIAL APPROVAL <br /> '� ❑ IOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> �7 Was not able to perform inspection. <br /> ❑CALL 259-8810 FOR REINSPECTION —24 hour notice required. <br />' ' � ' ' �, A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMI:ES PRIOR TO OCCUPANCY. <br /> ! " <br /> Inspector <br /> Dat � <br />