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evcrctl <br />� <br />IN�P�CTION ���ORT <br />Addrets�� a� <br />Controctor // — <br />Owner � ^�� R� <br />Dote �— /5/— � / <br />TYPE OF INSPECTION REQUESTED <br />❑ �LDG: Pmt. No.�Q�2 �MECH: Pmf. Nn — <br />❑ EIEC: Pmt. No._ ❑ PLBG: Pmt. No_.__-- __—__ <br />❑ Housinp ❑ Masonry ❑ Insulofi�o <br />0 Footinp ❑ Framinp ❑ Groundwn�l <br />� Foundotion ❑ Drywrll Noilinp ❑ Comulta���.��� <br />�7 Sewcr ❑ Rouph�ln ❑ Finol <br />❑ Fireploce a Imne ❑ Service ❑ Other— __— - <br />� APPROVAL ❑ PARTIAL APPROVAL <br />U i ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE belnre wort can Le vpi,rvvcJ. <br />❑ Work listed bclow has been inspeded ond apprwed. <br />❑ Plooce contact inspector ord arronpe (rn oppointmen� <br />❑ Wo� not able lo perform insptttion. <br />❑ GLL 259-8870 FOR REINSPECTION — 21 haur ncn�cc re,;�.�n�d. <br />A Certificate ol Ottuponcy sholl be issued ond posted on the premiscs D^or Po xcuponcy <br />A ���{� <br />��f� G - lt ' c�� <br />�- <br />� <br />�� <br />