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Scott VanRyswood, Plumbing & Gas Inspector, Ext. 1113
Hours: 8:30-9:30 am Wednesday and Friday
REQUEST FOR PLUMBING OR GAS INSPECTION
Date ____________________
Date of Inspection Requested _________________________________________
Owner ____________________________________________________________
Job Location _______________________________________________________
Plumber & Phone # _________________________________________________
Permit # and Date of Issue ___________________________________________
Type of Inspection:
Gas Plumbing
Rough □ Rough □
Final □ Final □
Entrance Instructions:
Someone will be present ___________________________________
No One Home/OK to Go In ___________________________________
Key Location/Comments
_____________________________________________________________
_____________________________________________________________
*Failure to complete form may result in a delayed inspection*
Town of Brewster
Building Department
2198 Main Street
Brewster, MA 02631
508-896-3701 Ext. 1125
508-896-8089 Fax
Email: building@brewster-ma.gov