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� <br /> Ocvcren �����i-s���� ���"��� <br /> Mldress � ���-LD <br /> Contracfor ����Ul <br /> Owncr��l� �[ 7gGfI_F� <br /> Wtn <br /> IYPE OF INSPECTION REQllESTED <br /> ❑ OLbG: Pmi. Ne. ❑ MEf_H: Pmt No. <br /> �'ELEC: Pmt. Nv. ❑ PLEG: Pmt. No � <br /> ❑ Hcuzing ❑ Mosonry (� Insuletion <br /> ❑ Fmting ❑ FrominD ❑ Groundwork <br /> [] Fwndafion ❑ Drywall Nailin0 ❑ Cr.n:,ul�otion <br /> Q Sewer ❑ Rouph.�n � Finol . <br /> � Pireptoce ond Chimney ❑ Scrvice ❑ Othcr <br /> ,�"APPROVAL ❑ PARTIAL APPROVAL <br /> �j VIOLATION p CORRECTION REQUIRED <br /> ❑ Cortections listed bclow MUST BE MADE befcre work can be opproved, <br /> ❑ Work liated below hos been fnspected ond opprovtd, <br /> ❑ Please contoct in:.pecror and armnpe fa appointmene. <br /> ❑ Wos not able to perfwm inc.pec�ion. <br /> ❑ CALL 259•8870 FOP. REINSPECTION — 2d h-ur noticc roquired. <br /> A Certlficote of Occupancy sholl be 7tsurd cnd posted on the premises prior to occupancy. <br /> G�c.7�� <br /> ---«--'� �� �`� v <br /> � <br /> Insnecto� �`✓��L�.F�"l 1� ��+o' ---_ patc_s��'_� .� <br /> _ _-- _ ._ _-. �—__ _ _ _ /"_�__ ' '.. <br />