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c" <br />a `o c . ,� - <br />���«n 1�$i'66r�'���'�� ��P�� 1 <br />� �-� ; , <br />n����.�,� _�� �{ - � <br />----�—n u�_. <br />n,,�,��ro.�y, �� �� �i� <br />o,.,���—�1��1`_-��-�LZs_ <br />�'' �C-� � ,, ) - <br />��,�,- __z�.�d�i <br />_ --- --- ------ -- - --� <br />TYPE OF WSP[CTION REQUESTED <br />L] �L�i- PmL No.�_� f7 MEf_H�. Pmr Nn.�_ <br />f_-}�EC: Pmt. Nn..��� �� p��G�. Pmr <br />❑ Nnusiny . No.--,_— _- <br />n Masonry Ini��lati' n <br />7 <br />Foolin <br />9 <br />❑ Founda�icn L] Fram�ag �i Gcimdwcrl � <br />I 1 Sewcr �� �rywoll Nwlmg ❑ Ccmultat�-„ <br />(] Rough�ln � Finol <br />❑ Fireplacc and Chfmncy [7 Servitc <br />' . _.—_ � ' _' ❑ Other___... <br />�APPROVAL [] PqRTIAL APPROVAL <br />�[7 VIOIAIION ❑ CORRECTION R[QUIREI� <br />❑ Caireclions Lstrd hclow MUST BE MADE bvf:,rc w.� ��� �- -� . <br />C� Work Gsled bclov . `': i. �:Pi:r,,.ed <br />has bcen impccicd ond apprr.�,i <br />[] Pleose conlact in;pcctor and arran9e (or appoinlmv�t <br />[) Was not able W perform inspecbr.n. <br />LJ CALL 259-8870 FOR RUNSPECTION -- �q h: ��� , � , ,. , <br />A Certiheale ol OccuVanrs' :hall be <br />uucd and pnSteJ on ihc prcnnsrs prior to ec�upenc�. <br />I/ I <br />--__ ____ __ <br />In4Pec��yL/ //�//� _ �//��%(y�� _ �j _ � __Z_ . _ _ "_ <br />/_ �LS� y �GC�����i� _ <br />/ <br />I�,,, �/ �°���� -. <br />