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e��«„ I�15PECTION R�RT <br /> �/D(c - /G f/, <br /> � Address��� d ���'L!Q[_�"�"� , <br /> Contmcror— <br /> Owner �j�J <br /> Dute /-� � �C_ <br /> TYPE OF INc7SPECTION REQUESTGD <br /> �I BLDG: PmL Na_ �L� 7 / [J MECH: Pmt No. <br /> ❑ ELEC: Pmt. Ka.__ ❑ PLBG: Pmt. Na. <br /> ❑ lirusing ❑ Mosonry ❑ Insulaticn <br /> ❑ Foolinp ❑ Praming ❑ Groundwork <br /> � Foundolion �Drywcll Noiling ❑ Ccn,ultaticn <br /> ❑ Scwcr ❑ Rough-In ❑ Finol <br /> ❑ Firep�aca ond Chimney � ❑ Scrvice ❑ Other <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORREC710N REQUIRED <br /> ❑ Corret�ions listed below MUST BE MADE 6efcrt \YOfIf tcn be approved. <br /> ❑ Work lisled below has bccn Inspected ond approved. <br /> ❑ P�ease contocr inspe[tar and arronge for appointment. <br /> ❑ �Vos not oble to perform inspecticn, <br /> ❑ CALL 259-6870 FOR REWSPECTION — 24 h-�ur notice reqWred. <br /> �1 Cerlificate of Ocaipancy sholl be issued and posted on the premius prior fo occupancy. <br /> ---�_-�_�9 _ ' �,. ��,��.�-w�� -�` <br /> --_—.� _ --y���a'� �--- <br /> _ �z�6�r � ��zZ�_,�,�-cl <br /> - - --�- -- --_ -j- - <br /> ----- - ---U�� - <br /> Inspcctor--- �- -� — - -- � - — c--'Dote�/!� " / <br /> / <br /> ..�„�, .� <br />� <br />