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PUBLIC WORKS <br />everett �NSPECTION REQUEST <br />��S �l�' �S�S�— <br />Address <br />Contractor � ftd���-� <br />Owner � -- �� <br />. <br />Date /b113/6� Time <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />O CURB/GUTTER/SIDEWALK <br />❑ STREET yc/� <br />❑ li C.� � Js��`i� <br />INSPECTION REQUESTED OPJ � — @ „Mt <br />PRO'JAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE UADE before work can be apprcved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not eble to pertorm Inspection. <br />❑ CAI.L 259-8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRION TO OCCUPANCY. <br />