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� <br /> PUBLIC WORKS <br /> everett �NSPECTIO�1 REt'�UEST <br /> � Address .;�o-�� o��h � <br /> Contractor r-��'V L�V�L/ <br /> Owner ��m�Ul(,�f ' 1 L� <br /> Date � ����� Time <br /> TYPE OF INSPECTION REQUESTED ( <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK � <br /> �❑ STRE T � <br /> ��� � C� <br /> INSPE�ION REQUESTED ON l I �i,'7�(� <br /> DAT TIME <br /> ! <br /> ❑ APPRUVAL TIAL APPROVAL <br /> ❑ VIOLATION CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST E M DE before vork can be approved. <br /> ❑ Please contact inspector and arrange for appointn�ent. <br /> ❑Was not able to perform inspection. <br /> ❑ CALL 25Q•8810 FOR REINSPECTION—24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> /?PP S pS� <br /> a« �n <br /> _� � .Jro CP�t FqL�a�aC� � <br /> Gt.GvUS > ,.,s�5 -` <br /> _� <br /> Cl S /�e P� / �m � <br /> � <br /> inspector <br /> ��/7//lf Dale�/���` <br /> I� <br /> � <br /> I <br /> � <br />