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� <br /> F <br /> a <br /> cveretl INSPECTION REPAR7' <br /> � Address��' O(�C12'gC <br /> 0 <br /> �anlraCfor <br /> Owner / �CQ�/ (//����n V <br /> t .-----�_ <br /> Dn�c <br /> TYPE OF INSPECTION REQUESTED . ^ <br /> ❑ BLOG: Pmt No._ [] MECH: Pmt. No. <br /> �(ELEC' PmL No._OO � m_ � pLBG: Pmt. Nu. <br /> ❑ Hnusinq (] Moson <br /> � foolinp ry ❑ Insulat�.n <br /> ❑ Frominp [] Grcunda�ar{ <br /> � Fcundalion (] Drywoll Nailin <br /> ❑ Sewcr B ❑ Censuitotr n <br /> ❑ Rough-In �v �'. — <br /> ❑ Fireplacc and Chimne � F���� p <br /> _ _ _ ___ Y ❑ Scrvitc U Olhcr__ Sc <br /> __"_'_' <br /> __—_— __ <br /> APPROVAL - - ' <br /> ❑ PARTIAL AppROVAL <br /> _ ❑ VIOLATION ❑ CORRECTION RE�UIRED <br /> ❑ Corcecflons listed below MUST BE MADE balori• wcrl c�m be c�i r�ed,� <br /> ❑ Work listed below has bcen inspected ond opprevcd <br /> [] Pleose eontoct inspector ond arronge for oppointment <br /> � Was not oble to per(orm inspecfion. <br /> ❑ CALL 259-88J0 FOR REINSPECTION — yq hcur nci,�c rc..�;n;r,� <br /> A Certificole of Occuponcy sholl be issued ond pusted on ihe premises prior fo occuponry. <br /> -��� � �� <br /> �—Gt' C�-��_ t�( C c.,� <br /> _ � �c� ��-__-- <br /> Impector--- ��—(Q=�/— <br /> _ —"---Dalc <br />