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evrretl I������'�� ������ <br />,c�(�jh.l <br />nddress--7��- `� <br />Controcfar �J �� <br />Owner �' L �6Q LL ( !^ <br />c-- ._ <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt No.__ ❑ MECH: Pmt. No. <br />f�] ELEC: Pmt No._�L �� � pLBG: Pm1. No. <br />❑ Housinq [-, Moconry � Insulubon <br />❑ Fooling ❑ Fmming [� Grcundw'ork <br />❑ Faundation ❑ Drywoll Nuiling � Ccnsultohon <br />❑ Scwer ❑ Rough-In � Fino� <br />❑ Firenloce and Chimney ❑ Service p Other <br />,�APPROVAL ❑ PARTIAL APPROVAL <br />❑ �VIOLATION p CORRECTION REQUIRED <br />❑ Carrettions lisicd below MUST BE MADF, befnre work con be app�py� <br />❑ Work listcd belcw hos been inspected ond approvid. <br />❑ Pleou contoct inspector and armnge for appnintment. <br />❑ Was nof oble lo per(orm inspeclion. <br />❑ CALL 259-8870 POR REINSPECTION -- 2q hnur notice requirecf. <br />A Certilicate of Occuponcy shall be issued and posted on the premises prior fo xeuyoxy, <br />'� 1 .. . <br />Datc 1( � �.� <br />