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everetl � INSPECTION � :PORT <br />� Address_ � � � (�� "\��C/3�z'�'�„"� ' <br />Owner <br />![.��.t�-- G�'�- s-�- <br />Da�e � �� i9 – � / <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt No. ❑ MECH: Pmt No.— <br />❑ ELEC: Pml. No._ ❑ PLBG: Pmt. No. <br />� liousinq [] Mosonry ❑ Insulotic:n <br />� F�pry�9 � froming ❑ Groundwork <br />❑ Foundation ❑ Drywall Nuiling ❑ Ccnsullotlan <br />❑ Sewcr ❑ Rough-In ❑"�� f,,i�nol �e�` <br />❑ Fireplace and Chimney ❑ Service lyA���� � — <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIR[D <br />❑ Corree�ions Iisied below MUST f3E MADE Lefnre work can be approved. <br />❑ Work listed bclow has bcen inspected and opProved. <br />❑ Ploase mnmct inspeetor and ormngc for appointment <br />❑ Was not able to per(orm inspection. <br />❑ CALL 259-8870 FOR REINSPECTION — 24 hour nm�ce rcqui.cd. <br />n Cerfilicate of Occupancy shall be iswed and posted on the premises prior fo uevponcy. <br />�+-- _ �:l� �r/1��0.�tc�=/C '-'�� <br />