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I <br /> �-;����. o�-' <br /> ���.�„ 11V�PE�'6t'IV �EI���T' -� <br /> � � �/� � /� � <br /> Address._ � '� �GD✓�.�_,X`}��_� <br /> �\�� <br /> Controttnr \��--� �/ � � - 1 � <br /> Owncr�/�_ \ _]j��}e ��P� C.�- <br /> �� <br /> iu�c __���'��FC� <br /> TYPE OF INSPECTION R[nUESTED <br /> BLDG: Pmt Nn.�r� �� (] MECH: Pmt No. <br /> ❑ ELEC: Pmt. Nn ❑ PIBG: Pmt Nu._.'__—___.__-. <br /> ❑ H�usiny i-7 Masonry [] Insulatirn <br /> ❑ Footing []/F��min9 [�� GrcunAwnrk <br /> ❑ Foundalion !� Drywull NuiGng ❑ Ccm,ultob-�n <br /> Il Sewcr ❑ Rough-In [] Final <br /> (7 Fireplace and Chimney ❑ Scrvice ❑ Olher_ .. ___ <br /> -__--._.___ _._——__--._ <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> _- --__ . . --- ------ ---------- ---- <br /> ❑ Carrttticns listed bdow MUST BE MADE bcfnrc wort, con be ppprovcd. <br /> [] Wark Iisled bclow hos bcen inspected ond opprovcd. <br /> (] Pleou c�nloct inspe:ter ond arrang.^ (or oppolntment. <br /> [] Waz nat ablc to perfarm inspccbcn. <br /> � ] CALL 259�8870 FOR REWSPECTION -- 24 hnur noticc rcyuuccl. <br /> A Certi(ic�(e ol �[Cupancl' sholl be isiued nnd posteC on Ihe premises priar Po ueupaney, <br /> _'V' T _ - P— — <br /> ��(/ _ <br /> InsPK�._— —�-� i�i/ ���C:�"_. Dotr._V. �� (�� <br /> � <br /> �i <br />