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t.. <br />ev� IR�SRECilO� ��EPOlt7' <br />Addres: (!f s~Q <br />r <br />for,lro«or_ <br />Owncr �.�. <br />__-- ��� - ? .3 - � � <br />TYPE% F�N�pECTION RE <br />❑ BLDG: pm�, Na� QUESTED <br />� ELEC: Pmt. No ❑ MECH: Pmt, N�. <br />❑ Housing <br />❑ PLOG: Pm�. No. —' <br />� F����9 [7 Mosonry <br />❑ Insulotion <br />❑ Fcundafion � F�aming <br />\' i�ret�ndwork <br />❑ Sewcr � ��y�'a�� Nuiling <br />� Rough.l❑ ❑ Ccnsullobon <br />❑ Fireplace ond Chimney ❑ Finol <br />— ❑ Scrvice <br />—_�_,_�� ❑ Ofher�-- <br />APPROVAL ❑ PqRTIAL APPROVAL <br />❑ VIOLATION <br />-----__,______ _ Q CORRECTION REQUIRED <br />❑ Correefions listed below MUST �E MADE br(nre ------ <br />❑ Work listed below has becn inspected ond o Wcr� ���� �� °nnrwed. <br />� Plaase conlacf in;pector ond orronge for a �Praved. <br />❑ Was not oblc to ncrform inspetficn. ��ointmmt. <br />❑ CALL 259-8d70 FOR REINSPECTION — Zq hcur nolice rcquired. <br />A Certi(ieote of Or.euponcy sholl be ISSIIC� o�d u�sted on the � <br />� <br />^ � Premises pno� to o<eu�wney. <br />�1 <br />i <br />J <br />1 <br />� <br />J <br />_! <br />