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rveretl 11�lS1�E��'IpN �Ep�R'T <br />� Mdress � <br />Controcfor � <br />Owner�C-�Z_ � <br />TYPE OF INSPECTION REQUESTED ---` " <br />❑ 6LDG: Pmt. No.—__ <br />❑ ELEC: Pmt. No.�—� ��"�E : Pmt Nn. <br />❑ Housing � P�^�� No.� <br />❑ Pooling ❑ Mosonry [J Insuloticm <br />❑ Foundotion ❑ F�aming � Groundwork <br />❑ Sewer �� ��'W��� Nailing � Cr ultotion <br />❑ Fireplpce n�d � Rough-In �a� <br />Chimncy � Scrvicc <br />� � � � ❑ Other_ <br />�-�==^=� ❑ PARTIAL APpROVAL <br />❑ VIOLqTION ❑ CORRECTION REQUIRED <br />---�--- <br />❑ Correetions Iisted below MUST BE MADE betore work �- <br />❑ Work listed below hc bren inspected ond o C0n be approved. <br />❑ Plcose contoct inspector and orronge far p PPr�V �d <br />❑ Wos nol oblc �o per(orm inspectian. PnO1ntmenL <br />❑ CALL 259-8t37p FOR REINSPECTION — 2q h,ur notice requirc,i. <br />A Certifieafe oF Occuponcy � 011 be issucd cnd posted cn the premises prior to occu an: <br />�// . N Y• <br />-,:. E,:....... <br />^s <br />'i <br />