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, <br /> �.�.�n lNSPECTiON i�Epp�� <br /> � Address_�_/�Y��� ��� <br /> ^\ \ U <br /> Corboctor�{� O-� C¢.Lyt <br /> Owner (�' �) � ---_ <br /> Date ll�.�/� — <br /> TYPE OF INSPECTIO�J REQUESTED <br /> ❑ BLDG� PmL No.__�� <br /> ❑ ELEC: Pmt. No._ ❑ MECH: Pmt. Nn. <br /> 19G: Pm1. No. G173/ <br /> ❑ liousinp <br /> 0 Fontinq ❑ Mnsonry [] Insulaticn <br /> ❑ Foupdotion ❑ Fmminq [] Groundwar6 <br /> � Sewer ❑ wall Nuilinq ❑ Cr�nsultahen <br /> Rough�ln p Rnol <br /> ❑ Fireploce Chimney ❑ Service <br /> � ❑ Other <br /> l�Q AFfPRQVAI ,� �.,,�. . . -- _ <br /> u �^rt i �hL AF'F'ltOVAL <br /> ❑ VIOLATION p CORR[CTION REQUIRED <br /> �__ <br /> —�— �-____--- -- <br /> ❑ Carrcctions lis�ed below MUST BE MADE bc(ore wor{�. con Le appro�ed <br /> ❑ Wark Iis�eG below hos been inspected and opprovcd, <br /> ❑ Please conlact insPector and arrange for appom�meN <br /> ❑ Was not able la pi.r(arm inspection. <br /> ❑ CALL 259-8870 FOF REINSPECTION — 24 hr,ur nnt�ce rcyuircA. <br /> A Cerlilimte of ccupanp- sholl be issucd lon/d posted on/�thc premises priar to oeeupek <br /> NO L. ES O�l/ /7..L�) !G � �F� r <br /> �_ <br /> " A�fct Cn.f1Ctc%�_�✓S . <br /> ��-- --- <br /> �— <br /> Inspe�tor /O— a�.�O <br /> Dotc O� <br />