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everett �N.�P�ri�O�r'� ��P��� <br /> � Address �.70� ��Pvti���,V�r��— <br /> Contractor �-rC (,d,,..m� ^�/�+� <br /> Owner � ��' �i 1 Pi1J <br /> Date � —a� '" �� <br /> TYPE OF INSPECTION REQUESTED <br /> i�.] BLDG ?mL No. ❑ MEGH: Pmt. No. <br /> Cl ELEC: PmL No. ._5��� � � PLBG. PmL No. — � <br /> ❑Temp. Elect. ❑ rrarning ❑Gas Pipiny <br /> ❑ Footing ❑ Drywall, Nailing G Consultation <br /> ❑ Foundation ❑ Shear Nailing ❑ Groundwc�k <br /> ❑ Ductwork ❑ Grid ❑Siruct.Slab <br /> ❑ Wood Stcve ❑ Rough-In �Final <br /> ❑ Masonry ❑ Service --- — �. <br /> ❑ APPROVAL A�TIAL APPR VAL <br /> ❑ VIOLATION C4'C.`OR R�QU�RED <br /> ❑ Corrections listed below MUST DE MADE before work can be approved. <br /> ❑ Please contact inspe^,tor and arrange for appnintment. <br /> ❑ Wa5 not able to per(orm i�.�spection. <br /> [�-�LL 259 8810 FOR REINSPFCTION — 24 hou�i,otice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND PGSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> L �)rGl���r c�i�c�r:s /y/u1 ��� <br /> ___(�FG� f�r�Tc �T�c� <br /> ���F�z ���� ..� �s�rNh��.�,�� <br /> i,v u (� ° � ry �`\ ��-.. i/�l f1-� H�_ <br /> ���?Q �S I �Q o�l f�L- 'L.�'T� I��� �� � K-1- <br /> -�_ec1j7S,��T w v+c.f� , <br /> ��'�� � Date �' ZZ��� <br /> Ir.spector 7 <br /> � <br />