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s� �= �-J <br /> everetl INS�EC7°ION RE�OIt'T <br /> � Address � ! /� �'` �� �� � <br /> Conhoctar �� <br /> Owncr_—Y—Y��" �' �aM <br /> Da�e �-f�� <br /> TYPGEj�O�fF�INSPECTION REQUESTED <br /> ❑ BLDG: PmL No. / <_�—� ❑ MECH: Pmt. No. <br /> ❑ ELEQ PmL No. ❑ PLBG: Pmt No. <br /> � Hcusing [] Mosonry ❑ Insulo�ion <br /> � p����9 ❑ Fmming ❑ Grour.dwork <br /> ❑ Foundation ❑ Drywoll Nuilin9 ❑ Ccnsvltoticn <br /> ❑ Sewer ❑ Rough-In n�l <br /> G Fireploce and Chimne� ❑ $ervice ❑ Other <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> � VIOLATION ❑ CORRECTION REQUIRED <br /> � ❑ Carrections Iisted below MUST BE MADE belnre wark ean ba app�wed. � <br /> ❑ Work listed below has been inspecled and oppwved. <br /> ❑ Ploose contact inspector ond arrange for appoinlment. <br /> ❑ Was not able to per(orm inspection. <br /> ❑ CALL 259-8870 FOR REINSPECTION — 24 hcur notice required. <br /> A Certifieote of Octuponcy shall be issued ond posted on the premises prior to o<cuV���Y• <br /> b1'a�� !T'L�� _— <br /> i � <br /> Inspe[tor �� <br /> c <br />