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evered <br />� <br />. � . , • .,. <br />hddress �Q �(� � / C� � � � <br />COntrpC(of ���L � -'� _ �d� � /�iL(' 4� <br />Ownc�x �!�-C�( c--�/Y /� � <br />Datc �����/ <br />TYPE OF I�SPECTION REQUESTED <br />� BLD6: Pmt Na_ <br />❑ ELEC: Pmt Nn__ <br />�.�h�ttN: Pmt. Nn. ���/ <br />❑ PLBG: Pmt No. ___ <br />❑ Housing [� Momnry [] Insulatir n <br />❑ Footing [] Froming [] Groundworb. <br />❑ Foundation ❑ Drywoll Nailin9 ❑ Ccnsultobon <br />❑ Sewcr � Rouglnln Q Rnal <br />❑ FireO�oce and Chimney ❑ Service ❑ Other _ <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />_ .- _ - - ------ _- <br />❑ Corrections listed bclaw MUST �E MADE befnre warL. con be opprwed. <br />❑ Work lisled belaw has been inspected ond opprovcd. <br />❑ Please conlact inspeclor and orronge for oppointment. <br />❑ Was no1 oblc to perform inspection. <br />❑ CALL 259-8870 FOR REINSPECTION -- 24 hour notice reyuired <br />A Cerli(im(e of Occupancy sholl be issued and posted on the premises prior Po xcupewcy. <br />c <br />� <br />� <br />