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everetl <br />� <br />IN�PECilO1V itEP�lti <br />Address ( �� / ` `c�� � 5C0 � <br />Con!roctar /��C���� <br />Owner � ( � <br />Date <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. �:o. ❑ MECH: Pmt. No. _ <br />� ELEC: Pmt No �� � �� ❑ PI_BG: PmL No <br />� Housinq ❑ Maso�iry � Insulalion <br />❑ footing ❑ Pmming ❑ Groundwork <br />❑ Foundation ❑ Drywall Nailing ❑ Ccnsultotion <br />� Sewcr � Rough-In ❑ Finol <br />❑ Fireplate and Cnimney �J' Service ❑ Other_ <br />APPfLOVAL ❑ PARTIAL APPROVAL <br />VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correctionz listed below MUST BE MADE betore work can ba opprwed. <br />❑ Work lisled below hos bcen inspected ond apProved. <br />� Pleose contact inspecror and arranpe for appointment. <br />❑ Wos not oble ta perform im.mction. <br />❑ CALL 259-8870 FOR REINSPECTION — 24 hour noticc required. <br />A Certifieate of Occupancy shall be issued ond posted on the prrmises prior to xeupnney. <br />�/��/,�.G��1' S .-7� � 1r.1.eJ�fi <br />