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everett <br />� <br />INSF%ECTION REP�RT <br />'- � l��o <br />Address � � r L��� <br />Contractor �'3 � � CDuS _ R" S ��� <br />N <br />Owner <br />Date �' - 2 3 �� � <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. <br />❑ ELEC: Pmt. No. <br />❑ Temp. Elect. ❑ <br />❑ Fooling 9 <br />❑ Faundatlon /�� <br />❑ Duclwork � <br />ove <br />O Masonry <br />APPROVAL 5 �' <br />MECH: Pmt No. <br />PLBG: Fml. No. � � <br />' ❑ Gas Piping <br />Na�ling ❑ Consultation <br />ailin� ❑ Groundwork <br />❑ Struc4 Slab <br />� ❑ Final <br />❑ <br />PARTIAL APPROVAL <br />CORRECTION REQUIRED <br />❑ Corrections lisled below MUST BE MADE before work can be approvea. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to peAorm inspection. <br />❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice raq�iired. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED Otd <br />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspectorv� '� Date <br />� <br />