Laserfiche WebLink
i �r��O i►��lICAT10N FOR SERVICE cRp�RE N? •2083 <br /> ' - NOTICE , "° � CITY OF EVERETT WATER DEPT. <br /> AND INSPECTION REPORT ; ��xip O DATE��-+a1s <br /> everen � ��_�- PRINTEn <br /> e . , ____ ____ � o��„T . W.o. ____ <br /> I No.'— <br /> ownu_�Qa__�itt-x---�•�-=------- �- � <br /> ✓_ _ ^ � ��O/�_L.C� 3 59O �6� <br /> Addressafbuildinp�V-.�.�- _—`�----'—'---" � �[11VIC[ I�rADDllq�l � SLK.. LOT�ZLADO._ <br /> i GONTRAGTOR <br /> �y��----------- oWN� — <br /> u��.ao�a�----- ' , <br /> � TYPE OF INSPECTION REQUESTED '� � INSTAL 3 ME 111�!'�M�YtC'C —T <br /> � 1 XL�L�Y N Y I011 TH[ USL OF WAT[II IN ACCORD�Ntf WITH TNE . <br /> �YlDG� Pmt. No.���r�-- ❑ MECH: Pmt. No._._---- � OIIDINANtp AND ►OLICI[6 O� TML WAT[II D[�AR�MCNT NOW EXIfTIMG ,�,�L � . <br /> ❑ ELEC: Pm�. No.___- -- ❑ <br /> PLOG: Pmt No. I OR A! �AYL MAY R NLRU1RL11 CNANGED. •ION[C: <br /> MI1T1111AL� K IN. 1 IN.� � IN. � I PIIIG[ AM <br /> ❑ Footinp ❑ Framinp � Bmnch Circuil r--�� I <br /> ❑ Foundation U Drywatl Nallinp p Furnace ,� � r�►t _ CO�r[11 GALV.--STlEL _ <br /> ❑ Concreta Slab ❑ Rcuph.ln �yFinal�. �y<+�. _ ' <br /> ❑ Fireploce and Chimney ❑ Service ❑ Other— — - _ � C011rORAT10N <br /> -- CUR� CO O7 I _I_ _ <br /> PPROVAL ❑ PARTIAL APPROVAL I <br /> ❑ VIOLP.TION p CORRECTION REQUIRED � �[11VIC[ �O% PLAeTIC • G I � <br /> -- - I M[Tt11 VAW[ ----- -- ---- - <br /> si � Corretllons lisled belcw MUST OE MADE bcln�e work can be apCromd. _ <br /> �PPROVED FpR OCNPANCY mb�ect ro certilicale of occupancY� � M[T[R No. TYrE° _,_ I K _ -- — <br /> p Wark listed below has b^en inspected a� apv�oved. � ____ __ <br /> � Plcuse tontact ins0eclor and arran9c for appoinlmcnl. MLT[11 �OX CONCIIET[ 6MALL LApGE _ <br /> ❑ Waf nof able to perform inspecticn. I I — <br /> ❑ CALL 259-8715 FOR REINSPECTION — 21 hour no�ice roquired. �—�— I _ _ <br /> � �`� ----�YY�"�`--._..__._ ._- ----- i — — — —i— <br /> ------ � <br /> __ - -''`" - -�fy-�'--�-Q---� - - ---- ----- -- -- � -� - <br /> - ---------- ----------- ---- � - � -- <br /> --- -- - ---- � � <br /> . __-_.____.___..__.. �Vf ON <br /> -- ' _ _ _ ___ ___ I DAT[ INfTALLED: 3' '� 7 G O OF� 6U� TOTAL <br /> r = NOUII� MT[ <br /> 1 COD[ LA W� .W D W U I�M W T 11 LNUI. I <br /> __ ____"'_______'__'___ � <br /> ----- -- --- ---- -- � I _ �-� �� - <br /> ----- ---- -------- � i _��(�_ 13 <br /> ----- -------- � -- - _� -- <br /> - - � � _ - �- - <br /> _---- ----------�---- <br /> ------------- <br /> --- � I <br /> _ - ----- --- � <br /> --------- --- - ---- ----- <br /> --- - -- --- <br /> __ - <br /> --- - ------ <br /> 712l�_L�-- I TOTAL <br /> Inspcttor����B� ---;Datc_ <br /> I a �ent du�inp Ihi Pcct�on. � REMARK9: __ ______________________' _. <br /> � <br /> _' .._ _'__.'. ._ <br /> ^ '__._'_. _ _ ' _ _ <br /> , - -_.. '_ _' " . _ _'_ .. <br /> . .__. _. __ -' . '_ <br /> � .ti '% 7 •, r • L__' — .. .. _.. -- --_ ' . . . <br /> .�►s _ �� ,�4- <br /> �f <br /> � <br /> r <br />