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:�'� !`''h,l <br />everetl INSIPECv10�1 ItEP��T <br />_.� ,, <br />� � � <br />Address_ 1� <br />� � �� � <br />�.� 11 (�c ,P <br />Controctor_. ��'—� <br />��� �Jl,2� �I <br />TYPE OF INSPEC7IGN REQUESTED <br />�i- t� C-�J <br />p BLDG: Pmt. No. MECH: Pmt. Nn.—, —' <br />❑ ELEC: Pmt. Nc. PLGG: Pmt No. <br />� Housinfl ❑ Masonry ❑ Insulatiun <br />❑ Footing ❑ Framing ❑ Groundwark j <br />p Faundation ❑ Dfywall Nailing ❑�isu�:o��on i <br />p Sewcr O�Rou9h-In —t e�Finai — .. <br />� Pireplace d ChimneY ❑ Service ❑ Other —__ ____._____ <br />__ _ <br />�j APPROVAL p PARTIAL APPROVAL <br />❑ CORRECTION REQUIRED <br />� Cortections listed 6clow MUST �E MADE betore worb. con� �e opprmed. <br />� Work listed below has bcen inspected ond opprovcd. <br />❑ Ploox :onmct msDector ond arronge for appaintment. <br />❑ Wos not able ro perform inspection. <br />❑ C/�LL 259-8d70 FOR REINSPECTION — 24 hour noi¢c rc��ired. <br />A CertifimM oF Oetuponey shall be �sweJ and pesrod on th; premises prior to �H:eupaneq• <br />[aitc �—�� <br />