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����,�„ IMSPECTiON R�AOR7 <br />l�ddress_� �� �___�_ �_P_�J'� _�.�Uw ��1/�/ <br />C��ntractar��i�/_�GG— �1L�-�—C����� <br />Cwner��—�%S— �—'��/' � --�-'-- � <br />Cdc___'_'..____'_'.'___ ' _..__._____'_. <br />TYPE OF INSPECTION REQUESTED <br />;] 6LDG: Pmt. Nc— ❑ M:CH: Pmt. No. <br />�_] EIEC: Pmt No._— �..yPI.BG: Pmt Nn. S-3��-+ <br />�, Housinp [� Mos�nry [] Insulnlirn <br />�] Pootmp ❑ Fmminq [j Grcum.iwork <br />❑ Foundaticn ❑ D r.11 Noilinfl ❑ Ccnsultob>n <br />❑ Sewcr ough-In ❑ Rnol <br />❑ Fireplace ond Chimney ❑ Scrvice �] Other___.___ ___ ___ <br />.. ,.—'_ --__ ___— '—. ___—___-- __ _ —_--__— �<-_..._ <br />s APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correctiens listed bclow MUST GE MADL hcf�re work mn be approved. <br />_�{] Work �isted Lelcw has Lren inspected and apprared. <br />❑ Pleose coNotl inspe<tor and orrongc for opDoiniment. <br />[] \4os not oblc Io per(crm in�pcction. <br />❑ CALL 259-8870 FOR REINSPEC7lON — 24 hcur �olitc rcQuh�d. <br />A Certifimte of Occuponq� shall be issued and poslyd en ihe premises prior fo o<euponey. <br />— —r�/— _ <br />_' _ —_ _ _ <br />__ � — —' <br />�,,.�,.������ � ��A^�`L <br />��"'` <br />--_�« �- � �=2�'_ <br />a. <br />r <br />