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everelt <br />e <br />INSPECTION REPa�tT <br />Address � 5 / � 3 !N� �M D/� �'i <br />Contmcror �Q �nP C _ <br />), r . <br />Owner_ — <br />oa�� __ �_/ 3 - 7 9 -- <br />TYPE OF INSPECTION REQUESTED <br />[] BLDG: Pmi. No._ ❑ MECH: Pmt. No. <br />❑ ELEC: Pml. No. `�.PIBG: Pmt No. bfl�iS <br />❑ Housing ❑ Mosonry ❑ Insulotion <br />� Footinp ❑ Froming ❑ Groundwork <br />� Foundotion ❑ Drywall Nailing ❑ Consultcticn <br />❑ Sewer ❑ Rough-In Lj Final <br />❑ Fireploce and Chimncy ❑ Scnice ❑ Other <br />� APPROVAL p PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections lis�ed below MUST BE MADE befcre work ccn be approved <br />❑ Work listed below hos becn inspecfed ond op0�oved. <br />❑ Please contacl inspector ond arronge for oppointment. <br />❑ Wos not oble to per(arm insvection. <br />❑ ULl 259-8670 FOR REINiPECTION — 24 haur noikc requir�d. <br />A Certi(ieole of Occupancy shoil be issued and O�sted cn the premises priar to o«uponey. <br />--_��_c� e� � ���— ��^__ _r_—. / -o o P �2 <br />--- �-is-�-- <br />Insnccicr___ ��f:..–�_ L2��.(�_��- <br />�1 <br />_J <br />-- oa,.,_ G- i 3- 7�— <br />