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� <br /> ere�etl I����d���� .\�f ��\ 6 <br /> �!a Address i D /v �" O�5 _ _D � <br /> Con�rp�tof <br /> Owncr �/ / �'�� <br /> Datc . 25"�/ /� <br /> TYPG OF INSPECTION REQUESTED <br /> �J6:�Pmt. No. [7 MECH: Pmt. No. <br /> F.C: Pr.•.. No. ❑ PLBG: Pmt. No. <br /> ❑ Huusing [� Masonry ❑ Insulation <br /> ❑ Fooling ❑ Fmming ❑ Groundworl: <br /> ❑ Founda�ion � Drywoll Noiling ❑ Ccryultuhnn <br /> ❑ Sewcr� � Rough-In �jj'�ol <br /> ❑ Fircplace and Chimncy ❑ Scrvice ❑ Othcr�— — _ I <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> `-'❑\VIOLATION ❑ CORRECTION REQUIRED <br /> �� - - <br /> ❑ Corrections listed bclow MUST BE MADE beforc work can be opproved. <br /> ❑ Work lisfed below has bcen inspecled and approved. , <br /> ❑ Pleose contact inspector and ormnge for oppointment. <br /> ❑ Was not oble to perform inspection. <br /> p GALL 259-8870 FOR REWSPECTION —� 24 hour notice required. <br /> A Certificafe of Uctupanq zholl be issued and posted on ihe p mises prior to xcupancy. <br /> �= � �.�, �� ._ .� <br /> ��° �-�-7� <br /> ImPector -(�` ' ��(. . _C]�AL__ Dat� `s — �• , — <br />