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�� <br /> ,,., <br /> i �- <br /> � <br /> , <br /> � � � <br /> IO � C <br /> C H <br /> 7 H V� <br /> � <br /> M � <br /> K n <br /> H F <br /> � N h7 <br /> N M <br /> [�9 O � <br /> H O <br /> O N <br /> H t9 O <br /> c� • n <br /> � H e� ,p�, <br /> z � , <br /> y y everett �����V���� ���4,6�7 �.i <br /> f�S O N u'-��7 .�-.01'✓1�'JCAr� ��l,rG . <br /> � c°ar '� � <br /> yo y Address <br /> Coniractor � � �no r��v� S �"� <br /> Owner ���c'NP N �l� u c � v� hf..�`Y�_ <br /> tl <br /> Dat� ���1 h � <br /> �� TYPE OF INSPECTION REOUESTED <br /> 'XBLDG: Pmt. No. Z-3���p _C MECH: PmL No. _ <br /> I-i ELEC: Pmt. No. LJ PLBG: Pmt. No. <br /> ❑Temp. EIecL ❑ Framing ❑Gas Piping <br /> ' ..� . ❑ Footing ❑ Drywall, Nailing ❑ConsWtaticn <br /> � � � G Foundation ❑ Shear Nailing ❑Groundv�oru <br /> '� ❑ Ductwork ❑ Grid ❑Struct. Slab <br /> ❑Wood Stove ❑ Rough-In ❑ Fi al <br /> �� ❑ M19asonry ❑ Service �2Z �"-� <br /> I Io�"j ❑ APPROVAL ❑ PARTIAL APPROVALr�_^. A <br /> � , ❑ VIULATION ❑ CORRECTION REQUIRED <br /> � ❑ Corrections listed below MUS7 BE MADE betore work can be approved. <br /> ��1 ❑ Please contact inspector a�d arrange for appointment. <br /> � �e ❑Was not ahle to perform inspection. <br /> � �.� CALL 259-8810 FOP. REINSPECTION — 24 hour notice required. <br /> ACERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND FOSTC!i �;i�� <br /> T.H�iE PREMISES PRIOR TO OCCUPANCY. 4 <br /> ...�� IOU.4���`- V-�CS� tiYA��n � E� Ir���\�p�_ _ <br /> �'�."-� '—"�--�-�— — - <br /> e �� <br /> \ ,�,� � � `r ( p <br /> �, 1� -� �{.�,C.:-L��'�,��T l O"� --liz:.lyJ 1 d �F�YI -. <br /> ! 1 1 <br /> ; _I _ <br /> \�'� <br /> � � <br /> Insncr.tor �� . � Date � <br />