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� '�'� � ��� ;� `i -;; '' -�, ,�+ � <br />�Ja�- �� �• <br />Address_ �_.S� � <br />Conhacror /� <br />Owner \�t� ✓'�r�""^ <br />n�« 9//�/�� <br />----_ ---- <br />TYPE OF II��SPECTION !:cQUESTED <br />❑ BLDG: Pmt. No._�_ ❑ MECH: Pmt. Ido.� <br />❑ ELEC: Pmt No. BG: Pmt No. �' <br />❑ Housing [] Mo;onry ❑ Insulation <br />� Footing [] Fromin9 ❑ G�oundwark <br />� Foundotior. ❑ Drywoll Nuiling ❑ Cr,�yullatinn <br />[] Sewcr ❑ Rou9h-In ❑ Finol <br />❑ Pireploce and Chimney ❑ Smice ❑ Other <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATIO�! j� CORRECTION REQUIRED <br />❑ Correetions listed below MUST BE A1ADE before wor4�, ccn be apprcwed. <br />❑ Work listed below has bcen inspected and opproveJ. <br />❑ Pleox eontoct inspe<tor ond orran9e (or appointment <br />❑ Wos nat oblc to ncrform inzpedion. <br />� ULL 259-88'7/0' rFOR REINSPECTION — 24 hour noticc requucd. <br />� Certificate a( Occuuoncy� Sholl be issued and posted on the premises prior to xeupaney. <br />��„_�- � 7 - �/ <br />���•�� �. � <br />