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everett <br />� <br />PUBLIC WARKS <br />INSPECTION REQUEST <br />Address � �=/ / 7 � �% �� �. _ <br />Contractor <br />� <br />Owner �.• `� rn o..� %�c.�- � _ <br />Date�l�, Time . <br />TYPE OF INSPECTION REOUESTED <br />�IDE SEWER <br />f7CURB/GUTTER/SIDEWALK <br />Ci STREET <br />❑ <br />INSP[CTION RE�UESTED O � a � ia � G� _ <br />„� � ���.�� <br />PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />1� C�rrections listed 6elow MUST BE MADE before wo�k can be appraved <br />C7 Please contact inspec�or and arrange lor appointmenL <br />❑ Was nol able to perform inspection. <br />O CALL 259-8810 FOR REINSPECTION — 24 huur notice required. <br />A CEFTIFICATE OF OCCUPANCY SHALL BE ISSUED AND P�ST[D ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspeclor <br />Date 7� <br />