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� <br />everetl ��ISPECTION REP�RT <br />� Address �7 � d v�� f <br />Confracta <br />Owner _ 1 ���.Q <br />oo�e— ?L%�/ <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. Na. ❑ MECH: Pmt. No. <br />❑ ELEC: Pmf. No. ❑ PLBG: PmL No. <br />❑ Housing ❑ Mosonry p Insulotion <br />� FO°���9 ❑ Framing � Groundwork <br />❑ Foundafion ❑ Dryviall Noilin <br />❑ Sewer 9 ❑ Crnsullotion <br />❑ Rough-In � F��a� <br />❑ Fireplace on j Chimney � Service � Other <br />.�APPROVAL p PARTIAL APPROVAL <br />O VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be opproyc� <br />❑ Work listed below hos bcen inspected and opproved. <br />❑ Pleose contact inspector ond orronge for appointment. <br />❑ Was not oblc to perForm inspection. <br />❑ C/�LL 259-8870 FOR REINSPECTION — pq hour nolice required. <br />I1 Certifieate of Occupancy shall be issued ond posted on Ihe premises p�+'a� to ueuponcy, <br />_ /�'.r.7 1' . .� _�. � i c� �� / ) rr— <br />