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everett <br />� <br />It��PE�T��iN i�EPOF3T <br />:s �. < < �.� c.J�_ <br />Address <br />Coniraclor � ` � F <br />, / <br />Owner --! ���� � `� <br />Da�e C/�� <br />TYPE OF INSPECTION REQUESTED <br />❑ BLOG: Piat. No. _t7 MECH: PmL �Vo. <br />y7�ElEC: Pm�. No. ❑ PLBG' PmL No. - <br />❑ Housing ❑ Masonry ❑ Zoning <br />!7 Footing ❑ Framing ❑ Gioundwo�k <br />❑ Poundation ❑ Drywall/Insulation ❑ $lab <br />❑ Spec. Insp. O Rough�ln �Final <br />❑ Fireplace/Wood Siov� ❑ Service <br />� 1 Consultation <br />�AFPROVAL C� �ARTIAL APPHUVH� <br />❑ VIOLATION �i CORRECTION REQUIRED <br />� i Corrections �isted below MUST BE MADE before work can be auproved. <br />❑ Piease contact inspector and arrange for appointment. <br />❑ Was nol ahle to Perlorm inspedion. <br />❑ CALL 259-8870 POR R�INSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED O;V <br />THE PREMISES PR19R TO OCCUPANCY. <br />InsPector //�i I 1 .—_—_ _._.__- Dato <br />��� ��='�--- <br />