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evcrcn 'tl ��A�B�� ■ ��f'� ������� <br /> � l�ddress_/l5 /_ � '^'��C..� ��� <br /> Contmcbt� <br /> Owncr_(J�-__�5�,�� <br /> D:t c__'__—______ <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ OLDG: Pmt. No. T Q MECH: Pmt. No. <br /> ,�j\'ELEC: Pmt. No._�l2� � pL6G: Pmt No. <br /> ❑ FTcusing ❑ Mosonry � Insulotion <br /> ❑ Fooling ❑ Framing [] Groundwork <br /> ❑ Fcundation ❑ Drywall Noiling ❑ Consultorion <br /> ❑ Sewer ❑ Rough-In ❑ Final <br /> ❑ Fireplace and Chimney ❑ $ervice ❑ O�her _ <br /> �APPROVAL ❑ PARTIAL APPROVAL I <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � ❑ Corrcetions listed Lelow MUST BE MADE be(orr work con bo approved. <br /> ❑ Work lisicd below has bcen inspetled ond opprovcd. <br /> ;] Please contact ins0ector ond arronpe for oppoinimenf. <br /> ❑ Wos not oblc to perform inspection. <br /> ❑ CALL 259�8870 FOR REINSPhCT10N — 24 hour mtitc required. <br /> A Ceitificote of Occupancy shuil be issued and nusted on Ihe premises V��or to ouepanry• <br /> � ��—— <br /> � J�---'^__— - <br /> . --� ����5_!1�`� _ <br /> __ __ � <br /> '__ ._ _—_ '+� <br /> —__"_—'_ <br /> �' <br /> Insnecfor-451�__l=l/s��___Date_—�L�i! '� <br /> ��.�, <br /> r� <br />