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�I <br />�evrrc�t �QVSPE�'TIOhI RE��i�T' <br />Address_� a d eC.�� <br />Cr,ntroctar .c� �,Cf�� ��a� <br />Owncr - �""''�z�' <br />n„��_�/��t�� _ <br />---____-- — — __ <br />TYPE OpF� INSPECTION REQUESTED <br />❑ OLDG: PmL No. �-�.p � [] MECH: Pmf. Nn. _ <br />❑ ELEC: Pmt. No. � PLIG: Pmt. No. <br />� Housing j7 Mosanry ❑ Insulofi::n <br />Foo�ing ❑ Fmming [l GrcundworL. <br />' Fcundotion {f] Drywall Nuiling ❑ Cr.mullaban <br />❑ Sewcr � Rough-In � Finol <br />� Fireplocc and Chlmncy ❑ Scrvice ❑ Othcr _. _ <br />__,�—_ .: ---' ... .._--_. _ ._ '__—_-_ __.'__... . <br />— —__— __ '--' _' <br />�^(APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORR[CTION REQUIRED <br />_ ___ __ _--- — _ _ _ <br />_. .:—_ — _ _ —_ -- _ <br />❑ C�rrectiens Lsted below MUS7 BE MADE b��f: m work con bt oFPrmtd <br />❑ Work listed below has been inspec�ed and approvcd. <br />❑ Please conlact inspectar and arronge (or appointmenl. %'j �%l�! <br />❑ Was nat oblc lo perform inspcction. J 1' -1 ^ <br />❑ CALL 259-8870 FOR REINSPEC710N -- 24 hcur notiee required. µ�K � <br />A CerliFimte of Oetupancy sholl be issued and po;teJ en ihe premises prior fo oeeupaney. <br />