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y <br /> everrB �.V�9���/�I�� ■1���� ■ <br /> � AdJress-_-(J/�-l.L�-��LG1.e!'� <br /> Contmdor�J�u-�`� ' <br /> n-� - � <br /> Owner -- / <br /> [k:lr—.---."'-__- -__-__ <br /> TYPE OF SP�J,ION REQUESTED <br /> ❑ 6LDG' Vmt. Na- 1 ❑ MLCH. Pmt No._- <br /> ❑ ELEC: Pmt No cq�-�-�� � � ❑ �LOG: Pml. No._ <br /> � ��L/� Mesonry ❑ Insulotinn <br /> Houtinq '�_ �� ramin (] Groundwo.4. <br /> [] Fwtinq �� g . <br /> ❑ Foundation ❑ Urywoll Nailinp ❑ C<n;ultabcn <br /> ❑ Sewer ❑ Rou9h-In ❑ Finnl - <br /> � Fireplace ond Chlmney [] S��rvice ❑ Olher -__--_ <br /> ❑ APPROVAL 2 O PAkTIAL APPROVAL <br /> ❑ VIOLATION ❑ COkRECTION REQUIREDS_ _s _ <br /> ❑ Correctlam listed b^Iow IAUST F1E MAOE before wark rnn be upp��ed. <br /> [] Wcrk lisled below his been inspected aod aPP���P�� <br /> ❑ Pleau contact insPector and arranqe (or ePl�ointment <br /> [] Was not abla to perform inspecticn. <br /> [] CALL 259�BB70 FOR REWSPECTION - 24 hour nane�• �eqv�rvd <br /> A C/'rtifi[ote of Occuponcr shnll L^ issued and posteA u� the premises prior Po occuPency. <br /> _'-'.. __.. . _""__ ._ ' <br /> ._ . _ _. _ -. _. _ <br /> - --- _ �/ �?�� - <br /> Impeclw. . -�l4� ' l� ' - �te_ � - <br /> � <br />