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PUBLIC WORKS <br />INSPECTION REQUEST <br />Address ale 16: 6i , \ Sr S'E <br />everett <br />Contractor 6�-573ORn/ <br />Owner 6S73n,an�) <br />Date ��-��—`%C� Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET A:711%,4 Z_ <br />INSPECTION REQUESTED ON @— <br />[)ATE TIME <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact Inspector and arrange for appointment. <br />[] Was not able to perform Inspection. <br />❑ CALL 259.8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />