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CVt'fftl '��������� ������ <br /> Address_.—._..1�1.�.,�r�:_-_._��i/C_.`---�- __ _ '. _ <br /> �L������,/�� � <br /> ContfoClar^�C ����-*-��„' '-" <br /> Owncr'x��!/�h�L� - .-- <br /> �,,,�--------s-,�__2y--- --_ <br /> _- <br /> _ - __ - <br /> TYPE OF INSPECTION REQUESTED <br /> ;] ULDG: PmL No._ �MECH: Pmt No._.Ci'�' �' - <br /> [� [LEC: Pmt. No, p PLBG: Pmt. No.—___. <br /> ❑ Housing ❑ Masonry ❑ Insulatico <br /> ❑ Pootin9 ❑ Froming ❑ GrcundworV, <br /> �� Foundoticn ❑ Drywall Nailinq ❑ Ccnsuitaticn <br /> i_] Scwcr ❑ Rough-In ❑ Final <br /> !-) Fireploce and Chimney ❑ Srniee ❑ Other_ <br /> �i1PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> — - --- — <br />