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evervtt <br />� <br />� G'�-, 3 � <br />�i���EC�Oo�i ������ <br />�/r //�� <br />Add.ess—._______��.�.� }��� <br />lf� <br />Ccnnactar ) <br />Owncr \�.(.a2/ �� CN'�—� <br />TYPE OF INSPECTION REQUESTED <br />❑ �LDG: Pmt No.__. <br />ELEC: Pmt. No__.. <br />[] MECH: Pmt. Nn.___ <br />(] PLBG: Pm1. No. <br />�] Housinq [] Mosonry (� Insuloti:n <br />❑ Footing [] Froming Cl Grwndwnr�- <br />❑ Fourdotion j] Drywall Nadm9 [] Ccn,ul�ob�.•�� <br />(-j Sewcr � Rou9n-In mol <br />❑ fireplace ond Chimney ❑ Service ❑ Other .._ <br />j�' APPROVAL [] PARTIAL APPROVAL <br />`❑�IOLATION ❑ CORR[CTION REQUIRED <br />❑ Corrections listed below MUST BE MADE briare work con ba opprwed, <br />� Work listed below has becn inspcncd and o, prov.d. <br />❑ Pleau conlact inipector ond orronge (or appointment. <br />[] Was not able lu perform inspecticn. <br />❑ ChLL 259-8870 FOR REINSPECTION �-� 24 hour notiec requireA. <br />A Cerli(im�e al Occupancy sholl be rswed onA poslyd on the premius D��or fo xeup�uey. <br />— _ _ _ a,��•—(�= 1 (-=�Q <br />