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�� ��h <br />evereli IP15P'ECilO1V REP0�3'T <br />� c� ��'` ♦ �"r <br />Address�� / ��� 4 � L <br />Contmcror�J�E <br />��e , �7l �y/�� <br />� YP�ECTION REQUESTED <br />�tlLDfa: PmL N. �r ❑ MECH: Pmt. No. <br />[.,y[CEC: Pmt No._ ❑ PLBG: Pmt. No. <br />❑ Housing ❑ Mosonry ❑ Inudation <br />� FO°��^4 ❑ F�a�^��9 [� Groundwor4 <br />❑ Foundofion � D:ywoll Nailing o� sul�otion <br />❑ Sewcr � Rough-In �� rinal <br />❑ Fireplace ond Chimney ❑ Scrvice ❑ Other <br />�APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOIATION ❑ CORRECTION REQUIRED <br />❑ Carrections listed betor MUST 6E MADE beforc wark con bo opprovcd, <br />C Work lis�ed below hos bcen inspet�ed and opprovcd. <br />❑ Pleau cantact inspecror and orronge !or oppointment. <br />❑ Was not oble to �er(orm inspection. <br />❑ CALL 259�8870 FOR REINSPECTION — 24 hour notice required. <br />A Cerfifieate of O[cupancy shall be issued ond pos�-d on ihe premises D��or to ueuponey. <br />. I ., _ C <br />Inspector <br />7- <br />