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i <br /> u <br /> cvcrclt a����� ! '�� �C°�!O'0'� <br /> e � � <br /> Add.ess��/�� <br /> �-----__ <br /> Controcror_R_ <br /> Owner— `� a\ /� L il 4 1-r� <br /> _____'_ Datc � _'� � 7 <br /> TYPE Of INSP[CTION REQUESTED i , <br /> ❑ BLDG: Pmt. No. �MECH: Pmt. No. �O CL3 CJ <br /> ❑ ELEC: Pmt. No.��_ � pLBG: Pml. No. <br /> [� Hou�ing ❑ Moson, -_�—.. <br /> ❑ Footing ti ❑ Insulai�,n <br /> ❑ From;�g [� Gruundn-:;rV. <br /> ❑ Foundation ❑ Drywall Nailing ❑ Ccm;ullai�.., <br /> ❑ Sewer ❑ Rough-In � Finol <br /> ❑ Fircplacc and Chimney ❑ Scrvice ❑ Other_ .__ __ _ <br /> APPROVAL ❑ PARTIAL APpROVAL <br /> _ _ _ __ � ❑ CORRECTION REQUIRED <br /> ❑ Correetions listcd bclow MUST BE MADE befrrc w�. , ccn Lc c� r,ocd � <br /> ❑ Work lisled below hcs been inspected ond approv�d. <br /> ❑ Pleou eanlaet inspermr ond orronge for oppointmenl <br /> ❑ �'Vas oat oblc to ncr(orm inspectian, <br /> ❑ CALL 259-8870 FOR REINS('ECTION — yq hour nai¢�� req;�irc,{ <br /> A Ccriifieotc of Oe<uponty :ha11 bc issucd onJ osted cn thc r rni ' <br /> t � n P e ses prmr !o occupenq�. <br /> — �M—�-=i.�-- i / C-��.��_�1 <br /> J��1=__-_. <br /> �A-�2 C �� L� ?cT.�,U ! � �z L__ <br /> �P �u 4`�' N <br /> Oti.l St�Eg --_____-_ <br /> t NS�/���� - —F`�-_�,e _ C�� � ��.�oE-. <br /> __ �--_ <br /> In�Peclor�__�_c�_�DOt� 7 � ! 'Q? __ <br /> O <br /> � <br />