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�, <br /> everetl INS�ECTION REp�OR�' � <br /> � Addres5��0 5�le�, ���Q <br /> Controcror V <br /> Owner� <br /> Date / <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No. __ n MECH: Pmt. No. <br /> ❑ ELEC: Pmt. No. ] <br /> PLBG: Pmt. No,��_ <br /> ❑ Housinp � Masonry ❑ Insulotion <br /> ❑ Footing � Framing . <br /> � Foundation ❑ vroundwork <br /> ❑ Sewer � �rywa11 Nailing ❑ Consullotion <br /> �Rough-In ❑ Finol - <br /> ❑ Fireploce and Chimney � Service <br /> ❑ Other <br /> APPROVAL ❑ PARTIAL APPR�VAL <br /> � N ❑ CORRECTION REQUIREO <br /> ❑ Corrections listed below MUST BE MADE before .,rk con be opprwed, <br /> � Work listed below hos been ins0ected ond oppwveJ. <br /> ❑ Pleou eontoct inspecror and arronfle (or uppointment <br /> ❑ Was not oble to per(orm inspection. � <br /> ❑ CALL 254-8870 FOR REINSPECTION — 2q hom notice reVuired. <br /> A Certificote af Occupancy sholl be issued ond posted on lhe premises prior to xcuponcy, <br /> � <br /> p� ��vE/Z ----- <br /> �� —^--� <br /> ��n/��' �� l,✓,as�.�e� -f- r:ye� <br /> Insptttor ✓ � I�.�Q_ O� <br /> Dote U Q <br />