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everefl <br />� <br />� <br />I�15PEC�'ION �����t�� <br />Address ���.1.. - ���� <br />Ccntmctar C <br />Owner—t �n�L�, "rC <br />nr __— <br />TYPE OF INSPECTION kEQUESTED <br />❑ OLDG� Pmt. No._ rJ MECH: Pmt. No. <br />�+f [IEC: Pm� No _� �_� ❑ PLBG: Pmt. No <br />i` <br />�] tlnminq j� Maznnry ❑ Insula�ion <br />� Foutinq [] Frommg �GuundworV. <br />❑ F:unJotion f� Urywoll IJaiLnp ❑'Ccn'�ultahon <br />�� ��rwcr C] Rau9h-�n ❑ fin�l <br />[J f ircyloce and Cf�imney ❑ Sernce [� OtF.er <br />_ _.-__-- __. .. _._ .___—__'___._ __—_. _ <br />�APPROYRL ❑ PARTIAL APPROVAL <br />VIOLATION ❑ CORRECTION REQUIRED _ <br />� �� Currcclions listcd below MUST BE MADE belorc wnrl, can be aVorwed. <br />[� Wark listed bclow has bcen inspetted ond apv�ov.�J. <br />[J Pleau contoct inspe<ror and orranqe fcr aDPo�^�ment <br />[] Wai not able lo per(orm inspc[ticn. <br />[] CALL 259-8870 FOR REINSPECTION — 21 hnu� aotice required. <br />� Cc���1�co1c cl Occupann shull bc luued and Oostcd on �hc premiscs D��or ro xeupa�q. <br />�l--�i� <br />In5pK1^I. <br />•4� <br />f <br />