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everetl <br />e <br />I�ISP�C'�IOId REPOi�T <br />Add�ess_�.l- �.� '_ L/�--=� �O�G�Y �� <br />� <br />����.a«o,_ <br />Ownet�'L��� D I � <br />(1i1r__ �— ' -- <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG� Pm�. Na_ _ — fl MECH�. Pmt Nn.__— -- <br />�LEC: Pml. No _. ._ ---- <br />�� PLOG: Pmt No <br />� �ii�9 � ] hlosnnry <br />� Fwlinq . �] Fmminq <br />0 Pourdation �; Drywall Nuihnp <br />j'] Sewcr [J Rouyh-In <br />� Fireplare and ChimneY I7 Servicc <br />�] �mulal�'n <br />(? G�c,unAworL <br />� ] C� n,ullaUon <br />,�Final � � `� ,�n <br />(] Other �� � <br />APPROVAL [] PARTIAL APPROVA� <br />p LAIION ❑ CORR[CTION REQUIRED_ � <br />�"' � Corrctlions Lsted bel��w MUST BE MNDE brinre w�d. can be oVptwed. <br />Work listed bebw has been inspec�ed ond opp�ov��J. <br />� Pl�ofe [onlacl miUcUor oni ormn9e (or appomiment <br />� Wai not ablc �o pcilorm inspection <br />� ULL 259�8070 FOR RLINSPECTION - 2� h��ur no��tt �cqwrcd <br />H Cedilieale ol Occupanc� sholl Le issued a��d p�s�ed ��n Ihe prrmkes Drior fo a<eup�KY� <br />� <br />_' _ —_'_ ' <br />' _ <br />_' __ <br />—" _ _—___ _ __ ,[ %/.�, <br />.. ,l:e_��' ��LY[�—_�. . Datr����� <br />InfOKlor _ - <br />