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� - <br /> - i <br /> �- <br /> � <br /> cvcretl IINS�EC�'IO�f REPQRY � <br /> � S/� Uc-72�.4-t��� �n Y <br /> Addrcss <br /> Ccntmctar �ILLJ! S ��tn �� . <br /> Owner �{-�( � �l S �` '�/1.G�Z <br /> Dotc Z-' <br /> TYPE OF INSPECTION REQUESTED <br /> (�6LDG: Pmt. No. ��'f�� � MECH: Pmt. Nn. <br /> [7 ELEC: Pmt No.__ ❑ PlBG: Pmt No. <br /> [] Housiny [") Menonry � Insvlation <br /> ❑ Footinq [J Frominp [] Groundwork <br /> [-j�Foundafon ❑ Dry�voll Noilinp ❑ Crnsullalmn <br /> �) Scwur ❑ Rough�ln � Finol <br /> ['� Fireplcce and Chimncy ❑ Scrvicc [J O�her __ <br /> �PPRO'JAL �7 PARTIAL APPROVl�L <br /> �(] VIOLATION ❑ CORR[CTION REQUIR[D <br /> ❑ Corrcctlons Ii:iad hdow MUST BE MADE bcirrc wark con bc approved � <br /> `) \Nork lisled below hos been insC�cted ond opprovcd. <br /> [_, Please conloct inspector ond arrange fot oppointment <br /> ❑ Vvas nol oblc lo prrform inspectian. <br /> [� CALL 259�8870 FOR HEINSFECTION — 24 hour ne�¢c rcymreJ <br /> A Certilimle of Oceupancl' shall be issued and post<d on �he premises priar fo xcu�ron<y. <br /> `�-�P� ,C��aCJ � <br /> — ` �L ) ' �'S c L'_� <br /> i1 ./,y/%., � <br /> —��--- <br /> i' <br /> ��.��,a, o��� Z- <br /> I - <br />