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� <br /> r <br /> i <br />� <br /> cvcrett 1�✓�`����� ."�OR� <br /> � AdcJress � � �i l ��l�l./�. <br /> Controcfor—�� ��� v ��C ( �-��v � (U� <br /> Owncr <br /> o,,,� �/ZZ( <br /> TYPE OF INSPECTION REQUESTED <br /> BLDG: Pmt. No. ❑ MECH: Pmt. No. <br /> ❑ ELEC: Pmf. No. ❑ PLBG: Pmt. No <br /> ❑ Housin0 O Musonry O Insulalion <br /> ❑ Pootinp ❑ Fmmin9 ❑ Groundwork <br /> ❑ Foundctlon ❑ Dr��vell Noiling ❑ Cen:ul�aticn <br /> ❑ Scwcr p Rouph-In �inal <br /> ❑ Pirepla[o ard Chimney ❑ 5ervicc ❑ Otlier <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> �O b�OLATION ❑ CORR[CTION REQUIRED <br /> Q Corrections listcd bclow MUST 6E MADE bet.rc work can ba opprwed, <br /> ❑ Work listcd bclow hos been inspccled ond epprovcd. <br /> p Pieoae conlact inspector ond orronge for appointment. <br /> � Wos nol able to perForm inspecticn. `;2Q F—D 1 , <br /> ❑ CALL 259•8870 FOR REINSPECTION — 21 hwr notice �quired� �� � <br /> A CeAifitoto of Otcupancy sholl be issued o posfed on the premises prior to ueuponcy, <br /> ._.—_—_ _.. _ . _ __— _ — —� <br />�� ___ _ .—.�� - _—____ ' _ _ <br /> InipttNr��f/j�". _. — __— _._—_—_—_balc� /7- _—'— _ <br /> r�« /. <br /> � / I_ / .. <br /> .,.,,....-. <br /> � <br />� � <br /> � . <br />