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{ <br /> � <br /> 0���,�„ INSPEC�T. �N RE�C�RT <br /> Address d L�ld'.Z 7 � \XL�I .i � <br /> �a��.o«o� �: c � <br /> o�,�e. <br /> oa�e ��/�/ <br /> TYPE OF INSPECTION REQUES' -D <br /> ❑ BLW: Pmt. No. ❑ MECH: Pm1. No.__— <br /> ❑ ELEC: Pmt. No.— ❑ PLBG: Pmt. No. _ <br /> � Housin9 � Masonry � Insulation <br /> � Fop��p � framing ❑ Groundwork <br /> oundation ❑ Drywoll Noiling ❑ Ccnsultation <br /> ❑ Sewer ❑ Rouph-In ❑ Finol <br /> p Fireploce and Chimney ❑ Service ❑ Other .. <br /> �APPRCVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> [� Corrections iisted below MUST BE MADE beforc work ron be cD7�a'�� <br /> [ Work listed below hos been insvected and ap0�oved. <br /> ❑ Pleau contoct inspector and orranqe for appoinfinent. <br /> ❑ Was nat a61e tu verform inspection. <br /> ❑ GLL 259-BB70 FOR REINSPECTION — 24 hour notice required. <br /> A (:ertifitate of Occuponcy shall be issued and posted on Ihe premises priar fo xeupoper. <br /> Er� ��� / /'J� �YCi L. r�7 _ <br /> �' � <br /> �{ _6/.�i /l�A //�( • <br /> �.�� r. - . <br /> Inspecfpr�i�3� -` =�f"v Mfa /��/ <br />