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everett I(�I�P�tr:T10N� RER�I�T' <br /> � �.- <br /> Address C���J C_ �,ri ���'���)"� �l 'r� � <br /> Contractor "���_/� � � ���� ���� � <br /> Owner � :�� � ���1�._.'� <br /> Date � %� _Q� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No. ❑ MECH: Pml. No. <br /> �1ELEC: Pmt No. - 7 ❑ PLBG: Pmt. No. <br /> ❑Temp. Elect ❑ Framing C Gas Piping <br /> ❑ Fooling ❑ Drywall, N�iling ❑ Consultation <br /> ❑ Foundation ❑ Shear Nailing ❑ Groundwcrk <br /> ❑ Ductwork ❑ Grid Q Struct.Slab <br /> �Wood Stave � Rough•In ,L�Final <br /> ❑ Masonry ,�Service ❑ <br /> d'rfSPPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRLD <br /> O Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please cont�ct inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br /> A CEP.TIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �y,_� �C h�L 1 t <br /> l�'!�� ��J� � 5'� ��- S.� <br /> q�, /?/�� <br /> Inspector ���'`'S Date <br />