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everett <br />e <br />Pus��c woRKs <br />INSPECTION REQUEST <br />Address ��� � /� °i"' <br />Cont�actor <br />Owner a,, , <br />Date ",��'o—L— Time %'� �� ���� <br />TYPE OF INS!'ECTION REOUESTED <br />`cf*'IDE SEWER <br />OCURB/GUTTER/SIDEWALK <br />❑ STREET 7 <br />❑ Ple � � O <br />INSPECTION REOUESTED ON a-a3�� C� �' <br />n.rr ��MF <br />PPROVAL ❑ PARTIAL APPROVAL <br />� VIOLATION ❑ CORREC'fION REQUIRED <br />(l Corrections listed betow MUST BE MADE belore work can be approved. <br />f7 Please contact inspector end errange for appoinimenl. <br />❑ Was not eble to pertorm inspection. <br />❑ CA�L 259•8810 FOR REINSPECTION — 24 hour notice requf�ed. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />/ ' <br />/ /.���� � : <br />�• � _. - <br />