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� <br />�r' <br />rvrrctl �������'�� ������ <br />el�Ailr��st_—. �. ��`/ ��'t2Lo/<'—_ <br />Cuntractar <br />�,.�,, ��_t-�'�s-�' � � -- <br />�,,�, -------L%�� �' _ <br />--==_--- --- ----- - -- <br />TYPE OF INSP[CTION RI:QUESTED <br />�-- <br />❑ OL[Xr Pmt. Nn. �� l] MECH�. Pmt No. <br />[ 7 ELEC: Pml. No ❑ PLBG: Pmt. No —..---- <br />I] Hausing Masnniy �] Iniulali n <br />�J Foo�ing �] Frumin9 i� Grvundw:�r4 <br />❑ FuunJatinn [] Drywall Nmlm9 [j Gn�ulmi� ^� <br />� I ccwar ❑ Rcugh�ln [] Final <br />(-] Frcplacc and Chimney ❑ Scrvicc ❑ (��her_.. __ - _ .. . .. _-. <br />. . . --_—.__'—.—_- _'--_"____'—_._—_--___,__�. <br />�j` APPROVAL [] Pl�RTIAL APPROVAL <br />❑ VIOLATION ❑ CORR[CTION REQUIRE7 <br />- - - ----- <br />�[] Conections Iis�eJ bclow MUST BE MADE Leln�c w� .t �,� br �.pnr„�cd <br />[] Work Iisicd bclow has becn inspecte! and apprevia <br />i] Pleatt eonlact inspector ond anange (or appomtmenl <br />� Wos not ablc lo perlorm msycct�on. <br />�] CALL 255'�88/0 FOR HEINSPECTIGN ��- 24 h�-,ur n i��_ :� n���c,1 <br />h Certificale ol O:cupanq� shall Le n:ued a�d p�. slrJ on Ihe premises D��or to xeupencY. <br />i /. _�7�� (� /.f1.'�� <br />' --� - <br />- - - - -------- <br />Ins{'ector_ - � - - - -- - c��t,..��/�. ��-- <br />� <br />/ <br />� <br />