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evcretl <br />� <br />❑ BLDG: Pmt. <br />❑ EL[C: Pmt. <br />� ��` %C) <br />II�SPE�TIC�h1 REP�RT <br />Addresz � J/� � �� �� <br />Controctar_ •— <br />J�� <br />Owner �?` � <br />TYPE OF INSPECTION REQUESTED <br />❑ MECH: Pmt. No.� <br />[��G: Pmt. No._ � <br />� Housinp ❑ Mosonry ❑ Insulalion <br />❑ Foatin0 ❑ Framing ❑ GroundworV. <br />❑ Faundofion ❑ D II Nailing ❑ Censullation <br />❑ Sewer 2ough-�n ❑ Final <br />❑ Fireplace and Chimney ❑ Servicc ❑ Other _ <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION �, CORRECTION R[QUIRED _ _ <br />—j ❑ Corrections listed brlow MUST 6E MADE belore work mn bo opprmed. <br />� VJork listed be�ow has been inspecled and appraved. <br />� Pleow wntact inspector and acran9e for apPo�ntmrnt. <br />❑ 4Vas not oblc to perform inspection. � <br />'�CALL 259-8870 FOR REINSPECTION — 24 hour notice required. <br />6 7/FS- <br />h Certifieafe of Oecupancy sholl be �ssued ond posted on �he p�emises D��or to xeu�wney <br />��� �'�3" - <br />