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� <br /> everell IMSPECT�OIV R P�OR�' <br /> ,�,5/U C3�� ��� • <br /> 0 Address � .� [3�Pf IZ'Y7- � � <br /> � Conimclar� �F �v � <br /> i � <br /> Owncr <br /> �« 9 - �s- �s� <br /> TYPE OF INSPECTION RFQUESTED <br /> ❑ BLDG: Pmt. No. ❑ MECH: PmC No.-7�_ -�— <br /> ❑ ELEC: Pmt No. �PLBG: Pmt. No._L5-L¢S <br /> � Housing ❑ Mosonry ❑ Insulalic:�n <br /> � F����g � Frominp ❑ Grcundworl: <br /> ❑ Foun�ation ❑ Drywall Nailing � Ccnsultation <br /> � Sewcr ❑ Rough-In ❑ Finol <br /> ❑ FircO�a�e and Chimney ❑ Scrvice ❑ Oiher--=— __ <br /> ❑ APPROVAL ❑ PART�AL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed bclow MUST BE MADE bclare work can te apprmed <br /> � Work lis�r.d below has bcen inspected and appmvi�d. <br /> ❑ Fleasa eontoct inspeCtor and ar.ange for opDointment. <br /> � Was not able to per(orm inspection. <br /> ❑ CALL 259-8870 FOR REWSPECTION — 24 hcur nohce required. <br /> A Certi(imte af Occupancy sholl be issued and posted on �he premises D��or to w.cupancY. <br /> To u T i E �✓ v e��_ <br /> �,� ��p� PP�n . <br /> .- <br /> ;��� �., .�..C� �_. 9-� .s �I <br /> Inspeet ---�' <br />