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evcretl <br />� <br />�. : � ,, . i� ;�: <br />'i <br />, <br />AJdress � � � � � � � -�'� <br />i 1 � <br />CoNmcror__.. j � � <br />Owner '`' � ' � <br />TYPE OF INSPECTION REQUESTED <br />� �1 � <br />�'FjLDGc Pmt. Na. "-i� �� ❑ MC=H: Pmt No._ <br />❑ ELEC: Pmt. No.-- ❑ PLFG: Pmt. No. <br />❑ Housing ❑ Masonry nsulation <br />❑ Foatin9 ❑ Fmming ❑ Groundwork <br />Dr w�ll Noilin9 ❑ Consultalicn <br />❑ Foundation ❑ 1' F.�o� <br />❑ Scwcr ❑ Raugh-�n ❑ <br />❑ Fireplace and Chimney ❑ $ervice ❑ Other ___ <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />� p Carrcctions listcd bclew MUST �E MADE bcfore work wn be opproved. <br />� Work listed below has bcen inspected and approved. <br />❑ Plwse eonmct inspector and arrange for appointment. <br />p Wos not able to perform inspccticn. <br />❑ CALL 259-8870 FOR REINSPECTION — 24 hour notice required. <br />A Certifieate af Occuponc� shall be issued and posted on the premises prior fo oeeuponey. <br />._ _Caic___ _—"_. <br />Insl�cttor__—____— -"_ ___' —__ <br />