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� <br />L <br />everch <br />e <br />I�ISPECTION ttF�OR'� <br />Address_ ''7� <br />�%!0/1 — /"loec�Rl✓ �� <br />ConiroCtaf • ' "-' � i"L`�--�— <br />[ / __ <br />Datc ? — '�( —_ <br />—r---- TYPE OF INSPECTION REQUESTED <br />�j MECN: PmL Nn._.�u���— <br />�] BLDG: Pmt. No._-- i�d F�BG: Prit. No._._ <br />❑ ELEC: Pmt No._— /i <br />Housing ❑ Mvsonry �J �nsulali:n <br />� ❑ Froming � Grc,unAwurL. <br />� Fouodotion ❑ Drywoll Nu�lin� �L] Censultatinn <br />❑ Ruugh�ln �] Final <br />❑ Sewer . piher - <br />� FirePlace and ChimncY ❑ Scrvac O ____ ________ <br />❑ APPROVAL ❑ PARTIAL APPRO`JAL <br />❑ VIOLATION CORRECTION REQUIRED _ <br />�-- —_ — — <br />❑ Correclions listed below MUST �E MADE bef�m wor4, can be opproved. <br />� Work listed below has been inspecled and approvcJ. <br />� Plaase contact insPector and armnge for oPPointmeN <br />� Wos not oble to perform inspection. <br />`ql� C1.LL 259-8870 FOR REINSPECT�ON — 24 hcur noticc requncd. <br />�� b!�fy ' <br />A Certifieole ot Oeeupancy shall be issued ond posted on the p�emises p��or to xeupenry• <br />�A) � Y�C'. � OKJ � - <br />1 <br />J <br />