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r>xyyW <br />K c� <br />H 'a7 <br />Oh=Q <br />Ln H <br />z <br />8e <br />OH <br />NPI$ <br />ZH <br />t q I <br />HH <br />rA <br />g 1V (a <br />Igg <br />H W <br />HOtn <br />everett INSPECTION <br />%REPORT <br />Address <br />Contractor _922M42,2117 <br />Owner -12ZLk74 1 <br />Date ^ —2 <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. MECH: Pml. No. <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br />❑(Temp. Elect. ❑ Framin 13 Gas <br />❑ Foundation O DD'walll,Nailing ❑ Consultation <br />❑ Ductwork ❑ Shear Nailing ❑ Groundwork <br />❑ Wood Stove O Grid ❑ Struct Slab <br />❑ Mason Rough -In ❑ Final <br />O Service p <br />L} APPROVALGt 4 .ve m ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />rJ Corrections listed below MUST BE MADE before work can be a <br />❑ Plr ise contact Inspector and arrange forappolntmen4. pproved. <br />11 WE n not able to perform Inspection. <br />❑ CALL 269•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 />Inspector r. _,� •�,.._,. Date <br />