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c�verett � ��7P�V��o� �7G ���� <br /> �1 Address ��o��:�c�'7.�1�'v� <br /> Contractor ��„s2�� �� ' � <br /> � r � <br /> � �/� Owner � __ __ _- _ _ _ <br /> i <br /> Date -o�- � - -��-- -----_ <br /> TYPE OF INSPECTION REQUESTED <br /> '� BLDG: Pmt. No _ _-------� MECH: Pmc No.___---- <br /> �ELEC: Pmt No _�_t<-�-L-� PLBG: Pmt. No. _._—._._- <br /> � Housing ❑ Masonry ❑ Uonsultation <br /> ❑ Footin ❑ Framing ❑ Groundwork <br /> 9 <br /> ❑ Foundation ❑ Drywall/�nstallation ❑ Slab <br /> � Spea In;p. �Rough-In ❑ Final <br /> ❑ Wood Stove �Service ❑ - <br /> �m� <br /> �APPROVAL ❑ PARTIAL APPRO'JAL <br /> ❑ VIOLATiON ❑ CORRECTION Rf=QUIRED <br /> �� <br /> ❑ Corrections listed below MUST BE MADE before work can'be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was net able lo perform inspection. <br /> ❑ CALL 259-8745 FOR REINSPECTIGN - 24 hour notice required. <br /> A CERTIFICATE OF UCCUPANCY SHALL BE ISSUED AND I'OSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> A.,�.�..-r� �7y-.ti� S <br /> - ,� -��_���. <br /> _ _________ ____ <br /> �y�n {/ � <br /> InsPedor . __ � . _ .. .�./. ..f�G� ,�(�, .Date . _ . <br /> `'�-- / <br />