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e�e.en <br />� <br />. ' ' � . �r ;�. ,'•• ;: <br />Address__�5�.��_,�{ W <br />CantraUar_ \� ��� � ��� <br />Owncr ���� �.� <br />% <br />Dutc 9 �d"U <br />TYPE OF INSPECTION REQUESTED <br />BLDG� Pmt. Na—_ ��3'r ❑ MECH: Pmt. Nc <br />[7 ELEQ PmL No_.__ ❑ PL�G: Pmt. No.. <br />❑ Housinq [] Mosonry ❑ Insuloti�.n <br />❑ Footing ❑ Froming [j G�cundworY. <br />❑ Fourdotion ❑ Drywall Nuilin9 ❑ Ccn�,ultalion <br />❑ Sewcr (] Rough-In [ �nal <br />❑ Fireplace and Chimney ❑ iervice � O�her <br />❑ APPROVAL � PARTIAL APPROVAL <br />❑ VIOLATION �CORRECTION REQUIRED <br />❑ Carrections lisled bclow MUST BE MADE brfine work mn be opprovtd. <br />❑ Wark listed below has been inspecled ond approvcd. <br />❑ Pleou contacl inspeUor ond armnge (or oppointment <br />❑ Was not oblr lo perform inspection. <br />❑ C/.LL 259-8870 FOR REINSPECTION — 24 h,ur notice requireA. <br />A Ceriificote ol Occupancy shall be issued and posted en the premises prior Po oCcupa�ry. <br />