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�� <br />' �n., � �'i� ; :. r • , - S. . Il :' .Y .`, �'i �. <br />� <br />/�ddre�s �` �-'s � �_' -_ I i�/_ `//l, //� _ _ . . <br />�,.,�,.,��o. �r��'��C.�/ Mct!-�n.'l - <br />O::n<< <br />i.�____ _—__— _ _. <br />TYPE OF INSPECTION REQUESTED <br />.:;L�: Pml. No._ �y�'S ❑ MECH: Pmt. No.—_ <br />.. LLEC: Pmt. Na_—_—_-- ❑ PLBG: Pmt. Nu._. --. --. <br />� �-i ,��9 ❑ Mosonry ❑ in;ulaticn <br />i; p ���i�9 [j Froming ❑ Groundwnr4 <br />-, fc.undolirni ❑ Dryx�ull Nailinq ultatiu� <br />�, _ H.-r ❑ Rough-In � inol <br />�„ Fveploce and Chimney ❑ $crvire ❑ Other_- .. _ . <br />�`PPROVAL ❑ PARTIAL APPROVAL <br />/[j VIOLATION ❑ CORRKTION REOUIR[D <br />❑ Correcticns listed below MUST BE MADE bef��. - ��� . -��� ! � � � � �� � <br />�[] Work Iisted below hos bcen inspoeted ond anp.���.' <br />❑ Pleose contact ins0eclor ond armnge fcr apPoin,��.��,� <br />[] Was net able fu perfonn inspectirn, <br />❑ Ci1LL 259-8870 FOR REINSFF.CTION — 24 h �. � �� .�� . <br />`, O::Ificetc of Occupancy sholl bc issucd and postcd �m ihe prcmiscs p��;.r ro a. ,��n<y. <br />;�/',� .04������;� <br />a <br />