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�� �a.� <br />����en 6NSPECTlON itEP�Ri <br />Address �' C� / �����N <br />V <br />� <br />Owncr /�- <br />Datc �/l " " / <br />TYPE OF I;�SPECTION REQUESTFD <br />� �LDG: Pmt. <br />i] ELEC: Pmt. <br />� Hausing <br />� Footing <br />� Foundation <br />❑ Sewcr <br />� Fireplace nnd Chimney <br />❑ MECH: Pmr. Nn.__F <br />LBG: Pmt. No.._�=�y--Sr <br />❑ Mosonry ❑ Insulaticn <br />[] Froming ❑ Groundwor� <br />['� Di II Nailin9 ❑ Crnsultoticn <br />" cu9h-In ❑ Finol <br />❑ Scrvitm ❑ Otlter __ �__ <br />APPROVAL � ❑ PARTIAL APPROVAL <br />❑ Vln � CORRECTION REQUIRED _ __ <br />� Correctio.is listed below MUST BE MADE befare work con ba opprwtd. <br />� Work listed belaw has bcen inspected and approvcd. <br />❑ Plmse wntact inspectar and ormn9e for aDPointment. <br />p Was not oble to perform inspection. <br />� CALL 259-8870 FOR REINSPECTION — 24 hour notice requircd. <br />A Certificate of Occuponcy sholl be issued ond posted on the premises pi�or co xcupanc7• <br />