619 101ST PL SE 2018-01-02 MF Import

PUBLIC WORKS 114SPE /CTION REQUEST Address 61 ? JQ�;� P Contractor 20. 'z Owner 9:0y 14 2t %E. , it Date / Time TYPE OF INSPECTION REQUESTED SIDE SEWER ❑ CURB/GUTTER/SIDEWALK ❑ STREET INSPECTIGN REQUESTED ON @ DATE TIME "PROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Y ❑ Please contact Inspector and arrange for appointment. ❑ Was not able to perform Inspection. ❑ CALL 259.8810 FOR REINSPECTION — 24 hour notice requi ed. A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON THE PREMISES PRIOR TO OCCUPANCY.