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:verelt INSPECi10R1 REP��i <br />� Adc�ress ' <br />ControCfor (% <br />OWRC! �y � \ ��� <br />�-�--� <br />oai�_ i'��/r � <br />— � - <br />TYPE OF INSPECTION REQUESTED <br />❑ OLD6: Pm1, Na. [] MECH: Pmt. No <br />❑ ELEC: Pmt No. �PLBG: Pmt No_��_ <br />❑ Housing [] Masonry <br />❑ Fooling ❑ �nsulation <br />❑ Froming ❑ Groundwnrk <br />❑ Foundofion ❑ Drywoll Noilin <br />❑ Sewer � ❑ Cen;ullolinn <br />❑ Rough-In �Final <br />❑ Fireplace ond Chimney ❑ Scrvice [] Other <br />❑ APPROVAL PARTIAL APPROVAL <br />_ _ ❑ VIOLATION �CORRECTION REQUIRED <br />❑ Gorreelions listcd bclnw MU57 BE MADE beforc wor{; ean bo oGPrwtd. <br />❑ Work lisled below hos been inspetted ond opproved, <br />❑ Pleose ecnlaet inspector ond arwn9e for oppointment. <br />❑ Was not oblc Io perForm inspecticn. <br />�CALL 259-� FOR REINSPECTION -- 2q haur notiee required. <br />�%lfJr. <br />A Certi(ieole of Occuponcy sholl be issued and posteJ r.n Ihe premises prior to oceuponoy, <br />� �«9 - �-SZ <br />4� <br />� <br />J <br />1 <br />� <br />� <br />