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evcrcn <br />� <br />;,. ; <br />4 :. � .I . : �. -.' �, � <br />Address <br />Contmctor � .�—C— " y� ' <br />Owner (/ J //.G�� G / r�. <br />Dalr � `�, / ��-1 �� ___ ✓ <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pml. No. �' d <br />❑ MECH: Pmt. No.— <br />❑ ELEC: Pmt. Nn. p pLBG: Pmt. No._ <br />[� liousing ❑ Mosanry � Insulation <br />❑ Footing ❑ FrominB ❑ Groundwork <br />❑ Foundation ❑ DryNa�� Noi�ing ❑ Con;ultotion <br />❑ Sewer ❑ Raugh-In Finol <br />❑ Fireplace and Chimney ❑ $ervice �[ Other_ <br />APPROVAL ❑ PARTIA� APPROVAL <br />VIOLATION ❑ CORRECTION FEQUIRED <br />❑ Correclions listed below MUST BE MADE befcre wor{; tan bo approved. <br />❑ Wotk listed bclow hos bcen inspeefed ond opprovcd. <br />❑ Please eontact insDector ond armnge for appointmenl. <br />❑ Was not cblc to perform inspeetion. <br />p CALL 259-6870 FOR REINSPECTION — 24 hour noticc reyuired. <br />A Certificote of Occuponty sholl be is;ued and pested r.n the premises priar to ottuponey, <br />.— _— —_ _ � — — _ __-__ — —__. _ —__ -1 <br />InsDectar —_. _ � —Dafc �—��v � <br />..�.�,.(� <br />�'. <br />