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�� . 3�� <br /> ���.�„ ONS�����6�1 REPORT � <br /> e ry , <br /> Addres� ��'l-s�?� �C' n � j _� <br /> � Ecoovocror (-�C,tk* _ . ; ,. <br /> � , , <br /> Owner � <br /> Date . �/�1��c/ ' <br /> TYPE OF INSPECTION REQUESTED � <br /> ❑ BLW: Pm1. No. ❑ MECH: Pmt. No. <br /> [] EIEC: Pmt. No. BG: Pmt. No. ��� <br /> ❑ Housinq ❑ Mosonry ❑ Insuloti�n <br /> ❑ Footinq ❑ Froming � Groundwork <br /> ❑ Foundotion ❑ Drywoll IJailing � Ccns Ilauon <br /> ❑ Sewer � Rouph-In �� <br /> ❑ Fireploce and ' wq ❑ Service ❑ Other � , <br /> �`�'APPROVAL ❑ PARTIAL APPROVAL <br /> N ❑ CORRECTION REQUIRED <br /> i <br /> ❑ Correttions listed below MUST BE MADE beforc work con ba opproved, <br /> ❑ Work listed below hoz bcen inspected ond opprovcd. <br /> ❑ Plaase conto[t insvector and arronpe for oppointment. <br /> ❑ Was nof oble to perfonn inzpection. <br /> ❑ CALL 259•8870 FOR REINSPECTION — 24 hcur notice required. <br /> A Certifi[ote of Occuva��Y shall be issued ond posted on the premises prior b xeupeney, <br /> � /Y/ M � 'i+ 1 <br /> �� �'�.�C�r o /c��—=� <br /> c-- <br /> � �� . > {y^ <br /> �nipecror -�s1��c\,� . � eei. _.Date `� • �.''JI 'CJl/ <br /> l\ <br />