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PUB�ic woRKs <br />everett �NSPECTION REQUEST <br />endd�egs s o�,. ,, u�� ,��. s� <br />contractor /� / � � � 5 <br />Owner <br />Date 3�� L �/;�- Time 1";� •lv�f' n-1 <br />TYPE OF INSPECTION REOUESTED <br />`�1SIDE SEWER <br />! 1 CURB/GUTTER/SIDEWALK <br />fl STREET <br />li <br />INSPFCTIONREOUESTEDON 3�I7�� @ =��n1, <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ �/IOLATION C CORRECTION REQUIRED <br />fl Corrections listed below MUST BE MADE belore work can be approved <br />fl Please contact inspector and arrenge for appointment. <br />❑ Was not able to peAorm Inspection. <br />❑ CALL 259�BB10 FOR REINSPECTION — 24 hour notice requlred. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR 70 OCCUPANCY. <br />Inspector � <br />t <br />7 <br />Oate _ <br />