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—r • <br />�II <br />� <br /> everetl <br /> ��������� ,� �E���� <br /> l� Address ��� ' T /��\� , . <br /> �^ <br /> Contraaror <br /> Owner—(.d-lOn--1� / <br /> �- l � <br /> �p�C = <br /> TYPE OF INSPECTION REQUESTED ���� <br /> p BLDG: Pm�. No. ECH: Pmt D:o.—----- <br /> ❑ ELEQ Pmt. Na— — O�'r�: Pmt. No._---- <br /> ❑ Housinq ❑ Mosonry ❑ Insubtion <br /> ❑ f-ooung ❑ Froming ❑ GroundworL <br /> ❑ Foundation ❑ DM�all Nailinp ❑ Ccnsul�ation <br /> �7 Sewcr ❑ Rough-In � Final �� ���7�- ( [ _ •7�—� <br /> Otherl6LS�Xc- ��t�J�S� <br /> � Fireplac ond e ❑ Service 0 _ <br /> APPROVAI. ❑ PARTIAL APPROVAL <br /> ❑ VIOLA ❑ CORRECTION REQUIRED __ _ <br /> ❑ Carrettions listed below MUST BE MADE beforc worl�. can Lc apprrn'cd. <br /> � Work �isfed below has bcen inspected and apProvaJ. <br /> ❑ Pleax eonfoet intpecror ond arronge � : appoiNment <br /> � Was not able to �erfarm inspectian. <br /> ❑ CALI 25i-8870 FOR REINSPECTION — 2A hr,ur no;icc re:luired. <br /> A Ceriificate of Occupancy sholl be issued and posred on �he premisc: prior to a:cupancy. <br /> � _— <br /> � <br /> � <br /> �-/,q.�� �Datc �I��"O � <br /> Inepector—� — <br /> I <br /> I <br /> I <br /> i <br /> � <br />