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everetl <br />� <br />.�. � • � ����� / •J ��� .. <br />Address O�v�'_ � y<\v� �� <br />� � <br />Contractar <br />Datc �—��/.�%� / <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: PmL No. [] MECH: Pmi, No.— <br />�EC: Pmt. No.—�'�� ❑ PLBG: Pmt. No._ <br />❑ Housin9 ❑ Masonry ❑ Insulalicn <br />� F��i�9 ❑ Framing [� Grcundwark <br />� Foundotion ❑ Drywall Nailing ❑ Ccnsuilation <br />❑ Sewer ❑ Ruugh-In — inol <br />❑ Firepioce and Chimney ❑ Service _ ❑ Other_ <br />APFROVAL ❑ PARTIAL APPROVAL <br />VIOLATION ❑ CORR[CTION REQUIRED <br />❑ Carrections listed below MUST BE MADE belore wark mn ba apP�a'�� <br />� Work lisled below hoi bcen inspected and apProved. <br />❑ Please eontact inspector and armnge for aDPointment. <br />❑ Was not ablc to perform inspecticn. <br />� CALL 259-8870 FOR Rn�NSPECTION — 24 hour nolice nquired. <br />A Certifiwte a! Ottupancy sholl be issucd and posted on the premises prior lo xeupe�ry• <br />Infpecto ��C � 7�i��f s��.dr_[�'Y�_____-.Date '% � (Q-U` � <br />