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�����C`�OO� R��ORI <br />� �j �i�-C/� G,�2S�s'-r� <br />n��«55� I <br />�nnlreCtof ' ' '����" �-��� <br />Owncr — <br />o���—._ � 7� — -- — <br />TYPE OF IN PECTION REQUESTED <br />�DG: Pmt. No.- ❑ MKH: Pmt. ido. <br />❑ ELEC: PmL No. ❑ PLBG: Pmt. No. <br />[j Hcusing ❑ Moscnry ❑ �nsuloticn <br />❑ Footing ❑ Framin9 ❑ Graundwr.rk <br />❑ r"oundation �?-�Yw�ll Noilin9 ❑ Ccnsultaticn <br />r� -„_µ,�� ❑ Rough-In ❑ Finol <br />❑ Firepbcc ond Chimnev ❑ Scrvicc ❑ Othcr -_ <br />(� APPROVAL ❑ PARTIAL AFPROVJ.L <br />❑ VIOLl�TION n CORRECTION REQUIRED <br />-- ----_=—_= <br />❑ Corrections Iisted bclow MUST 6E MADE befarc work can ba cpn���ed. <br />❑ 4York listcd bclow has been inspeetcd and opProved. <br />p Please contact inspccter and arron9e fer apFointment. <br />� �Yos not oblc �o perfnrm inspccticn. <br />❑ CALL 259-8870 FOR REINSPECTION - 24 hour no�ice reV��red. <br />A Certifieate of Oceupan�y shaii be issued ond p�sted cn the premises prior tu aeeuponey. <br />_' ___-_-_ __-_'._...-- - <br />- __-__ _ <br />-_. ___-' ____ ' <br />-. _._" _. __ j <br />'_ __'___ _— _ —_-' <br />_.__ _'___ _ . <br />InsP"-cror_ - �G _ ---_-__ ' _-_ .DatezL-� 7� -'._- <br />`//� � <br />-�:.r, <br />