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everett <br />e <br />PUB�ic woRKs <br />INSPECTION REQUEST <br />Address %�� � ) � 'f� S f— �� <br />Contractor l�%�....: .,..� �s T..�- � <br />Owner _�(%e %R�. <br />Uate �— 7ime <br />TYPE OF INSPECTION REQUESTED <br />A�SIDE SEWER <br />i� <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />❑ <br />INSPECTION REOUESTED Of� �� 'D d <br />U L 11Mf <br />�PPROVAL ❑ PARTIAL APPR()VAL <br />❑ VIOLATION ❑ CGRRECTION REQUIRED <br />❑ Conections listed below MUST BE MADE belare work can be epproved. <br />❑ Please contact inspector and arrange for eppoinlment. <br />❑ Was not able to pertorm 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 TO OCCUPANCY. <br />� <br />D V r <br />Inspeclor <br />Date // <br />