Laserfiche WebLink
everetl <br />� <br />NOTICE <br />AND INSPECTIOPI REPORT <br />Address_1 9��c_�� � ,��' <br />Contracror �� � ��it <br />n..,..,.. ! � <br />Requcsted by �� <br />TYPE OF INSPECTION REQUESTED <br />(�ELL�Gi Pmt Na �iG 3-9'�I [j MECH: Pmt. No. <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br />❑ Footing �Ffomin9 ❑ 8ronch Circuit <br />❑ Foundation � Drywoll Noiling ❑ Furnacc <br />❑ Concrete $Iab p Rouph-In ❑ Finol <br />❑ Fireplace ond Chimney ❑ Service ❑ Other _ <br />❑ APPROVAL <br />❑ V TION <br />APPROVAL <br />ON REQUIRED <br />j�JiCorrec�ions listed bclow MUST 6E MADE beforc work [on be opproved. <br />❑ APPROVED FOR OCNPANCY subject ro cerlifimte ot occuponty, <br />❑ Work listed belcw has been inspected ond approved. <br />0 Please tontoct ins0ector ond arronge for appoiniment. <br />4 Was ^__ __ fo perform in-pection. <br />_' ^{A•G <br />