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S�.�fy/ <br />���,�„ INSPECTiON RE��Ri <br />^ � Address � ( J � ¢ 9-[_J�Q Q�-. �1 Jnl�,� <br />Cantractar � ��/ � v <br />Owner� � `h�� <br />�t t 9 <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. S y ❑ MECH: Pmt. No. <br />� EIEC: Pmf. No. ❑ PLBG: Pmt. No. <br />❑ Housinp ❑ Masonry ❑ Ins•�lation <br />[] Footinp � Framing ❑ Groundwork <br />❑ Foundatiun � Drywoll Noiling ❑ Consultotion <br />❑ Sewer � Rough�in ❑ Final <br />❑ Flreplao� and Chimney ❑ Servica � Other <br />� APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIC)LATION ❑ CORRECTION REQUIRED <br />❑ Corrections lisled below MUST BE MADE beforc work can be apprwtd. <br />❑ Work Iis1eJ below hos becn inspected ond approved. <br />❑ Plaou conmct inspec�or and arrnnge for oppointment. <br />❑ Was nat oble to pRr(orm inspection, <br />❑ GLL 259•8870 FOR REINSPECTION — 24 hour noticc required. <br />A f�¢rti(ieote of Occupancy sholl be issued ond posted on Ihe premises prio� to ueupaney. <br />