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�l <br /> � <br /> evrretl '��������� ������ <br /> � Address__��,f --� �tJ _ — <br /> ����,� T <br />' Contmctor—�=��-�-�-5---- <br /> 'w,/j'^�yry, ��� <br /> Owner ��L`t`-�'�� <br /> I .ate_—._____'— ___ <br /> TYPE OF INSPECTION REQUESTED <br /> p �LDG: Pmt. Na ❑ hiEC4: Pmt No. <br /> ❑ ELEC: Pmt. No.�� �, (] PLBG: Pmt No. <br /> ❑ N�asonry ❑ Inwlaticn <br /> ❑ Hcusing � Fmming ❑ Grcundwork <br /> � Foating Ccn;ultation <br /> ❑ Foundation [` Drywall Nailin9 ❑ <br /> [� Rcu9h-In ❑ Finol <br /> ❑ Sewcr Othcr - <br /> � Fireplcce and Chimney ❑ Service_—❑ __,_ __ <br /> �APPROVAL ❑ PARTIAL APPROVAL -- <br /> VIOLA'iION ❑ CORRECTION REQUIRED <br /> � ❑ �Corrections lis�ed below MUST BE Ml�DE brfore work can bo aOP�oved. <br /> � Ylork listed b^_low has 6cen inspected and opproved. <br /> � Please c.nlact inspector and arran9e tor appointment. <br /> �] Was not ab � �� Pcrform inspeetion, <br /> ❑ CALL '159-8870 FOR REWSPECTION -- 2: ti'�ut noticc reqnired. <br /> A Certificate of Occupano� shall be issucd and posled on ihe ;remises p��or ta oecupaney. <br /> -- ��__�---��---��-�� <br /> --- -- --------- <br /> ---���� __L�_.L_11=�`�- -- _ <br /> --- - -- -- <br /> -- <br /> __ <br /> --- <br /> - --- <br /> ------ � <br /> , ---- -- <br /> -- ; <br /> ---- - - - <br /> __ e�--oa«4—��_,.� <br /> Inspedcr_� <br /> i <br /> I <br /> ,.i, ._f <br />