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t�.:'�-�G��;.; <br /> ���,�n AND INSPECTIOi� REI�O,ZT <br /> � ( � -------� � � �j — _ <br /> Owner___-��• <br /> Address of buildin 2�V � �-���IW .Zvd� <br /> C�ntrocror��I�_rt„ � �� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ OLDG: Pmt No.____ � MECH: Pmt No. <br /> ❑ ELEC: Pmt. No._ �I PLBG: Pmt Nn. � 7 rY � <br /> / �' <br /> ❑ Footing ❑ Fromin9 ❑ Bronch Ci¢uit <br /> ❑ Foundafion ❑ Drywoll Nailing ❑ Furnoce <br /> [] Concrcie SI�b ❑ Rough-In Finol <br /> f� Fk,placc ond Chimncy ❑ Smice � Othcr_ <br /> �,`APPROVAL ❑ PARTIAL APPROVAL <br /> CI VIOLATION ❑ CORRECTION REQUIREC <br /> ❑ C:;rrections listed belew MUST BE MADE befare work eon be c�;pmved.� <br /> [] APPROVED FOR OCCUPANCY subject to certificate of acupanp-. <br /> ❑ Wark lisled below hos bcen inspecled and approved. <br /> ❑ Pleose contoet inspecler ond ormn9e (er oppoinfinent. <br /> ❑ Y✓os nof able to perform inspcctir,n. <br /> ❑ CALL 259-8745 FOR REWSFECTION — 2q hour notice required. <br /> .. _ . . _ --��_ . <br /> Iri;�cclor /j/G�l�'.?�c..l� __ Da "��Y� ��-- <br /> 1 Was presenl durinq fhis inspectio.�6 ' <br /> _ •� <br /> �� <br /> ..�r.ti � <br />