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evcrett <br />� <br />i j � <br />�� _ •.�; � � s.�. "� <br />Address_�_ '�/G_`_ �� /�sy P <br />//(y/� �C C� % <br />�ontraCto! ! i // il �— �� <br />..___DatC ' Q - <br />-_'- -_ -_ -5 _ �_ _'--��- <br />--_ ----- <br />TYPE OF �NSPECTION REQUESTED <br />'=f�[I�Gr Pmt. No. ��� � fdECH: Pmt No.__ <br />❑ ELEC: Pml. No.__ <br />❑ PLGG: Pmi. No. <br />❑ Housing <br />LI ,tilc;onry [; Insulalicn <br />�J Footing <br />❑ Fromin <br />❑ Fcundofion � C Gr�undwor <br />I: Sewcr ❑ Drywr.11 Noiling ❑ Cr.:�;i�lio on � Ll)� <br />❑ Rou9h-In in�l <br />❑ Fireploce ond Chimncy ❑ Scrvicc � i?jO <br />-�- --�_.______ ❑ Other <br />APPROVAL ❑ PARTIAL AppROVAL <br />_ C_VIOLATION ❑ CORRECTION REQUIRED <br />❑ Ccrrecticns listed below MUST DE ,NADE befcre work mn be approved. <br />❑ Work listed below hos been inspected ond apprcvcd. <br />❑ Pieose contoct inspector and orron9e for appointmenL <br />❑ Ylos n�t oblc to perform inspectirn, <br />U ULL 259-8870 FGR REINSPECTIOIJ -- Zq heur notiee required. <br />A C«�i(imte of Occuponcy sholl Le <br />isucd ond pcsfed cn �I�ic prc�nisc5 priar to o<eu ane , <br />v r <br />— ---- — <br />— -- -- <br />____— <br />-�� -- - �__ � �c'_c�� _ <br />.Date— S.ILI���__ <br />/ <br />,i <br />� =; <br />