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x. <br /> �, <br /> evcretl ����L������ REPOR� <br /> �� Adlress Z� � _� � <br /> Controctor.�� <br /> Owner �� <br /> w«_ �l�Z�- _ <br /> TYPE OF INSPECTION EQUESTED <br /> ❑ BLD6: Pmt. Na MECH: Pmt No. <br /> ❑ ELEC: PmL No. _ � PLBG: Pmt No. `�� � <br /> ❑ Housing ❑ Mosonry ❑ Insnlah�n <br /> ❑ Footing ❑ Freming �Groundw��r: <br /> ❑ Foundation ❑ Drywoll Nailing ❑ Ccmultoti �� <br /> (-J Sewcr ❑ Raugn-In ❑ Fnol <br /> ❑ Fireplace and Chimncy � Service ❑ Othcr <br /> APPROVAL. ❑ PARTIAL APPROVAL <br /> ❑ VI ❑ CORRECTInN REQUIR[D <br /> � � Carreetions listed below MUST BE MADE befnre w�.r.. ccn he epprnvcd. <br /> . ❑ Work listed-below has been insvccled and apprev�J. <br /> ❑ Ploase eontact inspeelor and ormnge for oppaintment <br /> [] Was not oblc to perform inspection. <br /> I_7 CALL 259-BA70 FOR REINSPECTION -- 24 hcur n.�;icc i��,�uucJ. <br /> A Certilic�te of Oetuponty sholl be issued and posted un the premizes prior to xeupancy. <br /> ./.C� /eC. <br /> /-�Iv 1 I K1l��� �2D U Q <br /> C/ I\ �o,e- J.7tl�h• -- <br /> InsP�tor .—_Date_�7 �-`�' ��J <br /> �"' <br /> � � <br />� <br />( <br />� <br />�.��_ _. . _ —_ - — — _ _ .�— — i <br />