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r <br />Pus�ic �roR�cs <br />everett 'NSPECTION REQUE�T <br />Q:�=� i i ��t, ��- N� �E <br />� Address <br />, <br />Contractor �� � �'fl��f' ---- <br />�„ ' � �— <br />Owner 1� � �`�'�l ' <br />Date_��C ���� Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTFR!SIDEWALK <br />❑ STREET _ <br />� ( �j, �f1 ,'� — <br />INSPECTION REQUESTED ON — � „MF <br />I1PrF <br />' ❑ APPROVAL ❑ PARTIAL APPROVAL <br />` ❑ VIOLATION Q CORRECTION REQUIRED <br />i <br />❑ Corrections Ireted below MUST BE MADE before work can be approved. <br />��'� C] Please conhect inspector and arranqe for appointment. <br />j f7 Was not nb�e lo pertorm inspection. <br />� ❑ GP.LL ?:;�' 0811 FOR REiNSPECTION -- 24 hour notice requiied. <br />� ACERTIFICA7E OF OCCUPANCY SHALL BE ISSUED ANU POSTED ON <br />� THE PREMISES PRIOR TO OCCUPANCY. <br />/.. � / � _ � �-� <br />:. � - ' / <br />.� <br />, . ' '�i � .; , <br />Inapector Dat� ✓ �' <br />"1 <br />