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�=' �:�� <br />��lSPECTIO� REIPO�T <br />Address_ �( d Q � �SW ( <br />Controcror <br />Owncr <br />Dnte- �%��l' <br />TYPE OFJJ�JSPECTION REQUESTED <br />[4�BLDG: Pmt. No. ��-3 S (] MECH: Pm�. Nc <br />❑ ELEC: Pmt. No. � PLBG: Pmt. No.. <br />❑ Housing [] Mosonry ❑ Insuloti;:n <br />❑ Faotin9 ❑ Fmming ❑ Grcundworl: <br />❑ Fcundalion (] Drywoll Nailing ❑ Crnsultohnn <br />❑ Sewcr ❑ Rough�ln � Finol <br />❑ Fireploec ond Chimncy ❑ Scrvicc ❑ Othcr <br />�i APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION � CORRECTION REQUIRED <br />❑ Carre[fions listed bclow h1U5T BE MADE tic(ore woh�, mn be apprwed, <br />❑ Work listed bclow hos bcen inspected and apprwud. <br />❑ Please contoct inspeclor ond arronge (or oppointmenl. <br />j] Wos nol ablc lo perform inspeclinn. <br />❑ CALL 259-8870 FOR REWSPECTION — 24 hr.ur notice required. <br />A Certi(i[ate of Occupanq sholl be issued ond posted on Ihe premises prior fo o�eupaney. <br />�7�'%�c� — � ,5�-.3.3�% <br />� ia� �d� � <br />l9- Gt1 .�2� � Q � � <br />