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� <br /> everelt f�✓��V��O� Ee��\eI� ■ <br /> , 0 . _� <br /> Address_ �/"�-= -(.. L.::ln <br /> Controuor � <br /> . . / <br /> i'- `,. <br /> Owncr�. ` l � �`r�'�- <br /> Datc �'/� /� <br /> v .— <br /> TYPE OF {NSPECTION kEQUESTED <br /> �r�^-f. Pmt. No. __ ❑ MECH: Fmt. No. <br /> .�❑ EIEC: Pmt. iJa _ ,�.,n„ ?t'Ff� Pmr N� _ . ��� � <br /> ❑ Housin9 ❑ 1Aasonry (J Ins�iai��n � <br /> p Fooiing ❑ Froming [] GroundworL <br /> ❑ Poundotion ❑ Drywoll Nuilfng ❑ C ultaben <br /> f 1 Sewc� ❑ Rough�ln inol <br /> ❑ Pircploce ond.[himppy` � Srrvitc ❑ Other __ _ <br /> _.--_ _-,- '__'_^ <br /> APPROVAL p PARTIAL APPROVAL <br /> O VIOLAI"ION ❑ CORRECTION RFQUIRED <br /> � ❑ Correclionz Iisied bclow MUST BE MADE belore wor:_ crn Cc opyruvzd <br /> [J `V�rk listed below hos been inspected ond opprov��d <br /> ❑ Please conlott inspettor and arrange for aD�oinlmmt <br /> ❑ Was not c:ble to per(orm inspection. <br /> j_� CALL 259�8870 FOR REINSPECTION -- 24 hcur nr�bce rr���vrd <br /> !� Crrlil�r;(e o1 OccuV���Y sholl be issued ond posted on �he premises prior fo occu�oncy. <br /> _ �: �i C> - � 7��e.� ,4�.--e <br /> _f �` ��_�-�/c _ <br /> �-, <br /> � --- <br /> ----' ' , � <br /> InnDector_ ' � �� - - � r�.� . . r� ' _Dat�_�� <br /> 1 <br />