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evcrctt ���������� ������ <br />� Address� . _�- � -- <br />Cvntractor (���. L <br />�G: Pmt <br />❑ C:LEC: Pmf. <br />Owr.er_�— (�/ <br />Datr_-- —��—�--��J --' <br />T� O�F��SPECTION REQUESTED <br />No.__ ❑ MECH: Pmt. No. - <br />N�. _"_ ❑ PLBG: Pmt No.— — <br />[1 Hcusing (] hla5onry ❑ Insulotian <br />� i F«�i�g ❑ Freming [1 Grcundwork <br />❑ Foundotion ❑ Drywall No ling ❑ C^nsullof�n <br />� j Scwcr ❑ Rou9h-In ina <br />��] Rit�`Iccc ond ChimncY ❑ �cn�in: ❑ Olhcr__' _ . - ----' <br />_ _.. : �.-_ - -'-- _�—_ _—_ --___'_—___'_— _ ._ , .— -,�'__'___ _ ' <br />; � l�PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ C�rrcctions lisled 6clow �MUST 6E MADE bcfcrc +vur: ccn L�c r,pprovcd. � <br />� Wnrk listed bclow hos bcan inspmted ond opprovzd. <br />[] Please eontacl inspcetor und arronpe tar apDointment. <br />[] V✓os not oblc N perfom inspecticn. <br />❑ CALL 259-BB70 FOR R.EINSPECTION — 24 h�:ur n^��c: w�wuuJ. <br />A Ccrtifi[ole of Occupanc1' `hall bc issucd and pcsMJ cn thc Prcmi�:s p��ur �o occvponcy. <br />� <br />J!� 1 <br />-�C; <br />� <br />�„z�,��,�,_ -� - <br />`1a.�� <br />0�,�,3��r� <br />