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everett <br />� <br />P��JBLIC WORKy <br />INSPECTION REQUEST <br />Address r �_J /'� }'�� �� j�_ <br />Contractor <br />wner � ,c5 `-ti h, , � ,� <br />Date �' '� � Time <br />TYPE OF INSPECTION REQUEST[D <br />SIDE SEWER <br />Ci UFB/GUTTER/SIDEWALK <br />LiSTREET <br />fi <br />INSPECTION REQUESTED O � _� ��o �� <br />� � � �,�.� <br />�1PPROVaL ❑ PARTIAL AFPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIR[D <br />;] Correc�ions 6sted below MUST BE MADE belore work con be approverl <br />f i Please conlact inspector and arranye lor appoinlmant <br />❑ Was not able to perform inspection. <br />❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice reGuired. <br />A CERTIFICATE OF OCCUPANCY SHl1LL BE ISSUFD AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCV. <br />� � ^ — <br />i - � " - <br />Inspector ` f;�_De�e S `' <br />