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evereft �����r1 ■ '�� ■l���M"IP'�� <br /> e �- _ r , ,yI�- �/- <br /> hddress > r�'..:L.S �_ 4� '��.��_��/ _ <br /> Ccntroclar__� �_��::v�___^. <br /> Owner—_ " . . <br /> ��e i — �— b= v <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ �LDG. Pmt. No._ (_I A1ECH: Fmt. No.__.__ <br /> ❑ ELEQ Fmt No.—.--__. Ty�pLBG: Pmt. Na. <br /> Huusin /` <br /> ❑ p [] Mosonry [] Insulatrn <br /> � Fooling �] Framing ? Graundwcrk <br /> ❑ Poundahon ❑ D�ywall Nu�Jvg ❑ Ccnsultcbcn <br /> ❑ =��..��� ❑ Rough-In � Finol <br /> ❑ Fireploce ond Gunmcy [j �crvire 1-I Other____. ._ <br /> _'_. <br /> __. _ . \ . _ __ <br /> -- ' <br /> _.__—_�._____. _.___ .__ . . <br /> . �AINROVAL [ PARTIAL APFROVAL <br /> ❑ VIOLATIC?N ❑ CORRECTION RE�>UIRED <br /> -,_._ _- - -- <br /> --__- - - <br /> [ � C>rruciians listed bel .w MUST BE MADF bJ � w . . ;v.�r,� I <br /> ❑ Work lisied balow hos been inspected ond apProvid <br /> [� Pleau mnton insper�p� pnd arrange (or oOPoinbcc�n <br /> ❑ Was not oblc lo perFnrm iespechen. <br /> ❑ CALI_ 2.`9-8870 FOR REIh:SPECTiON -- 2J h�.in �� t�.�- ;,_ , . .... <br />. �1 CeAifieole of Oecupancy ,holl be issued ond posfeJ on tne premises prior fo oeeuponry. <br /> _ =.._���?�/�7 • <br /> �,. � - <br /> _.` <br /> � <br /> -- � -� Q ,-- <br /> Inf�er:Jr��.�"u1�_ �'L� —_Uo�e�'�.-;.J� <br /> c� <br />