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� � <br />�� , . <br /> everetl II�ISPECTIO�V REPC�►�T <br /> , � Address ��-�c��— /a�� <br /> Contmcror ��"' J ��''�� <br /> I Owncr �n -,/�i 'i 2�� <br /> IDatc /���1�� <br /> TYPE OF I SPECTION REQUESTED <br /> ❑ BLDG: Pmt No. ❑ MECH: Pmc No <br /> ❑ ELEC: Pmt No__ ❑ PLBG: Pmt. No. <br /> ❑ Housing ❑ Masonry ❑ Insulo�ion <br /> � p��;�9 ❑ Froming ❑ Groundwork <br /> ❑ Foundation � Drywall Nailing [] Cen Ito�ion <br /> n Sewer ❑ Rough-In mal <br /> � Fireplace and Chimney ❑ Service ❑ Other <br /> ,�r]] APPROVAL � PARTIAL APPROVAL <br /> p VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corre[tions listed below MUST BE MADE bclnrc worL, can be opproved. <br /> � Work lis�ed below has been inspetted and cC'�rwud. <br /> ❑ Pleosa eontaet inspeclor and arrange for appomtment <br /> ❑ Was nof oble lo perform inspection. <br /> ❑ CAI.L 259-8870 FOR REINSPECTION — 24 hcur nn�icc mquircd. <br /> A Certi(ieate af O[tupan_ry� shall be issu?d ond posled an the premises p��or to xeuponcr. <br /> ��,,,� �� <br /> v <br /> . / <br /> � <br /> _ � �/ (/�� �: �C <br /> InfDe[tcr—.� /�/,,//{ �, ���li��� Date � � � � <br /> R �'7CTr� L,. <br /> � <br /> i <br /> / <br />