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I, <br /> f <br /> ! <br /> � <br />��.:- � <br /> ; <br /> � <br />� <br /> .�,;,,'.;; - - . . <br /> � <br /> � � '_ <br /> ; � everett ������iT��� ���'��� <br /> ,�y - <br /> 5� � � <br /> r Address _ '�7�_CJ (�,�t' %!�� � __ <br /> �`"�' � � Contractor �— <br /> t <br /> " Owner _ cc rI <br /> �r4� `;: a �'y� �7 <br /> � #+�`� Date __�?�-LC1_L— <br /> �r=.�� �� — <br /> .'�`,�!.: .'� �_� <br /> " �':-;:^. ',:': TYPE OF INSPECTION REQUESTED <br /> �� !: BLDG: Pmt. Nc ❑ MECH: Pmt. No. <br /> ,�:i;:, <br /> � ,•: <br /> ;-i ELEC: PmL No. _ �pLBG: PmL No. ��1[� <br /> :r": % ❑ Temp. E!ect. ❑ Framing ❑ Gas Piping <br /> _ � Footing ❑ Drywall, Nailing ❑Consultation <br /> ❑ F undation ❑ Shear Nailing ❑ Groundwork <br /> w_ ❑ D�:iwork ❑ Grid ❑ Slruct. Slab <br /> ❑ Wo�d Stove ❑ Rough-Ir. �inal <br /> `' ` ❑ Ma;en <br /> rY ❑ Service ❑ <br /> ��°��� ��� � ❑ APf'ROVAL 7 PARTIAL APPROVAL <br />�" ❑ VIOLATION � CORRFCTION REC;iUIRED <br />� ❑ Corrections lis�ed below MUST 6[ A1ADE he!o�� wark can be appwveti. <br /> ❑ Please contact inspector and arran�2 ior appointment. <br />� ❑ Was not able to perform insn���ion. <br /> ❑ CALL 259-8870 FOR ��INSPECTION —24 hour notice required. <br /> A CERTIFICATE O� OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PRE�^,�SES PRIOR TO OCCUPANCY. <br /> �-�-- tgJE _ �1 S iD� o t.W t.1 <br /> --� <br /> , - <br /> Inspector � / �'L � _Date U lV <br />[ - <br />