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evcrett It�115PEC1'IOIV REROit°P <br />Address <br />�/ (/J�� .t o e C 2��n V�E."j <br />7 <br />�� � lDl (� <br />Contracfor _�` ` <br />Owncr , <br />Datc ✓ �C'//�`� <br />TYPE OF INSPE TION REQUESTED <br />❑ BLDG: PmL No.—��� ❑ MECH: Pmt. Nn.— — <br />❑ ELEC: Pmt. No.— ❑ PLBG: Pmt. No. <br />❑ Housinq ❑ Mosonry ❑ Insulalion <br />❑ Footinfl ❑ Framing ❑ vroundwork <br />❑ Foundation ❑ Drywall Nailing ❑ Cenwlrohon <br />❑ Sewcr ❑ Rough-In mal <br />❑ Pireploce and Chimn^y ❑ Service ❑ Other —_. <br />�' APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />� Correcfions listed bclow MUST OE MADE bclnrc worV. can be app:�vcd. <br />� Work listed below hos been inspected and opproved. <br />� Ploam eanloU inspeelor ond urron9e far apFointment. <br />[] Was not oble to perform inspectian. <br />❑ C.ALL 259-8870 FOR REINSPECTION — 24 hour notice required. <br />A Certifieate of Occupancy sholl be issued and pc:ted on the premises prior tn oc<upancy. <br />/� //�7 � — J.�� . <br />