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4�F ,•.�:.y • ' . <br />everen <br />� <br />� ..�. _ l ��. 9. Ia.' `� . _l1. f <br />�' <br />Addrest��CX/(,J/)p�J )/J �/ <br />Coniraclor_/�.�'/�/.x /Vv �� � <br />Owncr�lA.JCDA��(� <br />W I <br />�« /z/s / <br />,,� <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt No. �@CH: Pmt. Nn.9zS� <br />❑ ELEC: Pmf. No. � PLBG: PmL No. <br />❑ Hausing j] Mo;onry ❑ Ins��lati:.n <br />❑ Footing ❑ FwminA ❑ GroundworV. <br />[J Foundation ❑ Drywall Nollin9 ❑ Ccn;ultotinn <br />❑ Sewcr � Rough-In � p{�o� n <br />❑ FirePla ncy ❑ Scrvicc �L�.S f <br />� ❑ Other_ lP[A3C.t <br />—�' — �_ --- <br />APPROVAL ❑ PARTIAL APPROVAL <br />IOLATION ❑ CORRECTION REQUIRED <br />❑ Corre[fions listed bclow MUST BE f�AADE bc(orc wnrk con bo oDP�ovcd. <br />❑ Work listed bclow has becn intpected ond opProved. <br />❑ Ploose eonloct inspector ond orronge for appointment. <br />❑ Was na1 able to perform inspection. <br />❑ CALL 259-8870 FOR REINSPECTION — 24 hour no�icc required. <br />/1 Certificole af Qcwponty sholi be issued ond postrd on Ihe premises prior Po oeeupar.cy, <br />c, ri. <br />� <br />s !i � <br />t r r'_ <br />�t�'� � v . � . ., � �. �. 4 ;�=. <br />�� <br />� <br />_ "- <br />