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1 <br /> V <br /> everefi INSREt'1°It'�N REPORT <br /> � Aridress.y.��,'T/C1 ��f1 s.-- / /(/,���� y <br /> � /� ConiraClCr��y'1`i���if/ <br /> � / �., r� Owncr���—.—�/�n���' a'/l�f.�� / <br /> � /'___ / � —Duic— G��'�_�/Z <br /> TYPE OF INSPECTION REQUESTED <br /> fJ BLDG: Pm�. No.__ [7 MECH: Pmt. No. <br /> �EIEC: Pmt. No._.���L � pLBG: PmL No.__ <br /> ❑ Housing ❑ Mose�i _._______.__. <br /> ❑ Footing ry L7 Insula6cn <br /> U F�O^"^9 ❑ Groundwnrl. <br /> ❑ Poundoticn [] Drywoll Nui�1n <br /> I� $ewer 9 ❑ C�rnsultatior, <br /> ❑ Rac7h�ln � Pinol <br /> ❑ Fireploce ond Chimney 5��,��� <br /> .. __ --�— L� Oiher--- - — --�--- <br /> ____ <br /> �APPROVAL --_ ___=__==- --= : <br /> p VIOLATION U P'`�RTIAL APPhOVA� <br /> ❑ CORR[CTION RFQUIRE� <br /> ❑ Corrcciions Lshd bcl�w MUSi BE h1AUE bc/nrr w � � � <br /> j] Wark li;ted below has ' ' _r� t�c o;�.:.ro;cJ <br /> becn insPeUed and apprcv.J <br /> ❑ Pleose �oNact inspeclor ond arronpe (or oppoin�mrn' <br /> ❑ Was nof ablc to n��form inspection. <br /> ❑ C/�LL 259-8870 FOH REINSPECTION -- 24 hrur , „ <br /> . . . ra�.����imd <br /> � Certi(ieale of Occup�nry shall be issued a��d posied on the premises prior Po xeu{roner, <br /> �� �- �� � <br /> � - ��/ .21 , <br /> T / - <br /> , <br /> - -����—� �n � � <br /> --- �-_�_ � <br /> �������J <br /> — ���_ � <br /> ----�-� � <br /> i� <br /> �,�p��a._f � �'. . � <br /> --� - ✓ `� .�.—r�,«� y �''� <br /> / � <br />