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everett <br />� <br />ir�s��cr��� ���o�� <br />Address __���.7 �(�L2�/Ll�[l.�_W_�y <br />Contractor�����-�N '� ���� � ���[7 . _ <br />Owner _! 1����N S • __ <br />Date _ �� � � '—�� — <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pml. No __ �MECH: Pmt. No._��'?._- <br />❑ ELEC: Pmt No <br />❑ Housing <br />❑ Footing <br />❑ Foundation <br />❑ Spec. Insp. <br />❑ Wood Stove <br />❑ PLBG: Pmt. No. <br />❑ Masonry <br />❑ Framing <br />❑ Drywall/Installation <br />�7 Rough-In <br />❑ Service <br />❑ i:onsultation <br />❑ Groundwork <br />� Slab <br />�Final <br />❑ <br />❑ PARTIAL APPROVAL <br />fJ`G1Z7-LAT�GN ❑ CORRECTION ZEQUIRED <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 />❑ CA�L 2� FOR REINSPECTI�7N — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY iHALL DE ISSUED AND POSTED ON <br />THE PREMISES PRiOR TO O�CCUPANCY. <br />��� —���� <br />Insoector -�_ ��� __(�_�Q.,w_(oL— _Date_�`—' !. <br />LJ <br />