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everett � �����r°���N ���Q��' <br /> Addre;ss ���._1.�,,.1���`-_ _- <br /> Contracior �"�'_�___ <br /> Owner <br /> � X�IJ�� <br /> D;�te L_�i,;, <br /> i YPE OF INSPECTION REQUESTED <br /> �BLDG: Pnv. No. G � 1 MECH. PmL No. _ <br /> � ELGC: Pm�. No. � 1 PLE3� Pmt. No. <br /> C Temp. Elect. �tenrirtg ❑ Gas Piping <br /> C Footing f� Drywall, Nailing u Consultation <br /> i i Foundation � Shear Nailing u Groundwork <br /> ❑ Ductwork ❑ Grid ct. Slab <br /> ❑ Wood Stove ❑ Rough-In .., inal._� <br /> ❑ I�lasonry G Service <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION '�, CORRECTION REQUIRED <br /> �"-�� Conec!ions listed below MUST BE M.4DE before worl<can be approved. <br /> ❑ Please contaci inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> �y�CALL 259-8870 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPl�NCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �� ll f.-.� lll �yyA`1.l•,4,JL,'�_�� ��y�: :�{..e� <br /> / <br /> �.�� ��_� Ll� C � `�', l� r:� r ��_•.���� <br /> �_y�_;Z{.�.:Ck \..cu:.:h1f r_iT�� �\ \ >��fT, <br /> �� � � ��� <br /> S � � � ` y <br /> _ C(J �.J�-- �7Er.�L .l..t �c- <br /> /?'�� �� <br /> ��1. . II '�I� SI.�.�•.� e �e� <br /> n ` <br /> Inspec+oi --� ���-/� _� _ Date �-1 -�'�) <br />