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�- <br />everetl 6NS�E�1'I�Id REI�C�RT <br />� <br />�, 7�0� �es� � <br />Hddres U <br />Conimcrot � - '� � . <br />n � <br />Owner " � <br />Dotc " //� <br />TYPE OF INSPECTION REQUESTED <br />��; pmL No.._ <br />� MECH: Pmt. No. <br />LEC: Prrt. No. �� ❑ P�B�'� Pmt. No. <br />flausinp [] Masonry ❑ �nsulution <br />� � Praming ❑ Groundwork <br />p Footinp C� ultahon <br />❑ Foundotion ❑ Drywall Nailing ❑,-y <br />❑ Sewer <br />❑ Rough-In �i F'^°� <br />rJ Fireploce ond Chimney Service ❑ Oiher _ <br />[�APPR—'—OVA� — ❑ .�PFROVAL <br />❑ VIOL/\TION ❑ CORRECTlON REQUIRED <br />❑ Cerrections listed beluw MUST BE MADE before worl: can ba oVP��'�� <br />� Work listed below has been inspected ond approved. <br />❑ Please contact insPector and armnge for appoinlment <br />❑ Wos not able to perform inspectiun. <br />❑ CAIL 259-BB70 °OR REWSPECTION — 24 hour noticc required. <br />A CerG(ieote of Occupancy shall be issued ond posted on Ihe D�enises prior to oceupon.ry. <br />S�T l/I��7-�-P <br />Inspec <br />r <br />