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evrrctt ' ����E�/�A�� ����� ■ <br /> � AAdress__��—�_�L' <;' �-t��t�-.:- <br /> ��� ,'l / f-. ._ ._ <br /> Ccnha[for � �.�/�`.. <br /> ..�"�C-G� <br /> !'.�.,nVi"d� /�?i7J./,�rL�-r / <br /> L.f.�-:11-�7-� _ <br /> TYPE OF INSPEC710N REQUESTED <br /> ' i C�LDG: PmL No._ ❑ MECH: Pmt. No <br /> f.1 ELEQ Pmf. No, � /3 . � pLDG: Pmt. No <br /> I i Hcuzin9 p Musonry ❑ Insulatirn � <br /> f l Foolinp ❑ f. .+In0 ❑ Groundwork <br /> :l Foundotion [J (•.�woll Nailln <br /> I ,' �cwcr 0 ❑ Censvllofion <br /> ❑ Rouoh.in ❑ Final <br /> L I Fireploce md Chimney � $ervlte ❑ Olber <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Cortectlons lisfed below MU57 BE MADE befere work con be epprz�ved. <br /> ❑ Work lis�ed below hos been inspected ond opprwed, <br />' ❑ Cleose conlacl insPecPor and orronge ior oppointmenl. <br /> ❑ Was not oble to perfonn inspection. <br /> ❑ CALL 259•'.870 FOR REINSPECTION — 24 hour nnticc rayw�c,1. <br /> A Certifitole o( Occupanty sholl be issued md pasted en tho premises prior fo occupencr• <br /> .-i1-�_.�PO 22_�.,.,,__—�.�. /� ------ - ---- <br /> — � <br /> - ��-�--�-�---�'� _ll�C_�---- - <br /> �---- <br /> ------ <br /> - _ _ <br /> _--- T <br /> Inspeclor � � �_ � �_�,���'_ _—_ -.-- . .1� `/(` � . <br /> ii�tc <br /> - -r-- <br /> .�.�, <br />