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� <br /> everett ����d�7/���� ���'��� <br /> 0 ��� <br /> /�ddress�� � <br /> Cantmctor <br /> l.�i(t <br /> Owner <br /> potc <br /> Ty� �_N'SPECTION kEQUESTED <br /> �_ [] MECH: Pmt. Na.—�� <br /> ❑ BLDG: Pmt No� � PIBG: Pmt No.�— <br /> ❑ ELEC: Pmt. No --� � Insulaticn <br /> � Housinq [] Masonry <br /> �] Framin9 ❑ Groundwork <br /> � Footiny � pn,µ.all Nuiling ❑ Ccnsultatio <br /> B/Foundotion � Rcugh-In ❑ Final � <br /> �� $ewcr Othcr - __ <br /> ❑ FirePlace and ChimneY ❑ Service =__.-__— <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> p VIOLATION ❑ CORRECTION REQUIRED _ _ <br /> _.-- — -- „o.�d. <br /> ❑ Corretlions Iisted below MUST BE Mi1DE Gdare wnrk men Le oP� <br /> Work listed below has been inspccled ond opprevi�d. <br /> ❑ Pleose �a��°« �^spectot a�d artange (o� oppoinlmcnl <br /> OWus not oble to perform inspection. . <br /> ❑ ULL 259�BB70 FOR REINSPECTION — 24 hour noncc rqwred. <br /> h Certificote af Occupancy zhall be issued a�d pasled on ihe premizes prior ta x<uM�<Y� <br /> �� <br /> Date <br /> InfpK�or <br />