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everett <br />e� <br />PU�LIC �ORKS <br />iNSPECTION REQUEST <br />Address J6 - � /� f'� ff .S� __ <br />Contrector _ <br />Owner � n:� h. o..'� �>,..� s — <br />� <br />Da�e--��--- 7ime <br />TYPE OF INSPECTION FlEQUESTED <br />�SIDE SEWEH <br />/� <br />O CURB/GUTTER/SIDEWAL K <br />fISTREET <br />[i <br />INSPECTION REQUESTED ON L �_ i• c� <br />�APPROVAL U PARTIAL APPROVAI_ <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />f i Co�rections listed below MUST E3E MADE belore K�ork can be approved. <br />❑ Please contact inspector and arrange lor appointment. <br />❑ Was not able to perform inspecUon. <br />❑ I;ALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCLIPANCY SHALL BE ISSUED AND POSTF.D ON <br />THE PREMISES PRIOR TO JCCUPANCY. <br />/ �' <br />