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;�, <br />' evrren <br />� <br />S� <br />��I�PECTIO� i�EPO�i <br />Address _[_ �//�_�,L___1.3r/�_ <br />Controcior ��1�_�+—����� o.. 1 � <br />Owncr� �'-� �� ��.//1'.�� <br />TYP� OF INSPECTION REQUESTED <br />❑ BLDG: Pmt No.__ [7 MECH: Pm1. Nn._% v'T_ <br />❑ EIEC: PmL No._. _____ ❑ PLBG: Pmt. No � <br />� h{�usinq [] Mosonry (] Insuloh��n <br />� Footing ❑ Fwming (-] Gruundwork <br />❑ Foundotion [] Drywoll NaiGn� ❑ Ccnsultatinn <br />[] Scwcr ❑ Rough-In ❑ Fir.al <br />❑ FirePlere nnd h+..��-� [] Scrvice ❑ Other_ <br />APPROVA [� PARTIAL APPROVAL <br />❑ VIOLAIION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE belnre wor4, con Le oppravtd. <br />❑ Wark listed below has bcen inspccted and appmv.d. <br />❑ Please eantact insPector orul arrange for appointment <br />❑ Was nat oble lo {rerform impectian. <br />❑ CALL 259-8870 FOR REINSPECTION -- 24 hour no�itc rc<�uired <br />A Certifica�e of Octupancy shall be issued ond posted on the premises priar fo xeup��q. <br />Infpettor ��-_ <br />���_����. <br />oo��_l� "�` 7 c�0 <br />"' \ <br />