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evcrai <br />� <br />'' i' � ' •, ', � ;: <br />Address- _ � C J� <br />Conlroctor <br />Owncr 1;., _ /% <br />. . _,.,� <br />TYPE OF INSPECTION REQUESTED <br />� ULDG: Pmf. No.� � MECH: Pmt. Nr, <br />❑ ELEC: Pmt No. ❑ PLBG: Pmt. No.. <br />❑ Housing ❑ Masonry ❑ Inzulotion <br />� Footing ❑ Fmming ❑ Groundwork <br />� Foundotion � Drywoll Noilin <br />❑ $cwcr 9 ❑ Cen;ultotion <br />❑ Rough-In ❑ Finol <br />❑ Fireploce and Cliimney ❑ Service ❑ Other <br />'� APPROVAL dtS ND�PARTIAL APPROVAL <br />_ __ ❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Carrections listed below MUST BE MADE befnre work can be opprwed. <br />❑ N/ork listed below has becn insvecled orid opp�a�i.d <br />❑ Please contoct insPeclor and armn9e (or oppointment. <br />❑ Wos not oblc to Oerform insptttion. <br />❑ CALL 259-8870 FOR�F�EINSPECTION — 2q hcur naliec required. <br />A Certifi[ale of Occuponty sholl be i;sued and pos�ed en the premises prior ta oeeuponry, <br />1 <br />� <br />� <br />� <br />� <br />