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everetl '�✓������� � ����� 63 <br />�s - i�„ �t � � � <br />�.; <br />Address� <br />Contmcmr t`^Q� <br />� /)�% / � / � �'A� �' <br />� t �� � � <br />Owner <br />.�_:��' % _: <br />Uate <br />TYPE O �.� SPECTION REQUESTED <br />�l0 � MECH: Pmt Na.-----�— <br />� BLfXt Pmt. No. � PLBG: Pmt Na — <br />' � ELEC: Pmt. No._.--��— � lnsu�at�on <br />� Masonry <br />['j Housin9 � Fromin9 ❑ Grc�ndwarl. <br />� Footin9 Ccnsuit>t�^.,, <br />[J Drywoll Nailing ❑ <br />� Foundation � Rou9h-In ❑ Fir.ol . .. — — — <br />p Sewcr Scrvice ❑ Other_— —_ _______ _.. _ <br />� Fireplace and Chimney ❑ — — <br />- -�- APPROVAL <br />�APPROVAL � <br />❑ VIOLATION ❑ CORRE_ CT��N REQUIRED _ <br />�-- <br />� Correetions listed below MUST 0E MADE betora��w�r4. c-n ba appr:,ved. <br />� Work listed below hos been impected ond °oPn`ment <br />� Ploase conlact insPeclor and arran9e for app <br />� y�ras not oble to perform inspection. _ 24 hcur nrn�<<' iO'-��"":I <br />p CALL 259-8870 FOR REINSPECTION <br />A Certilicate of O�cuponcy shall be issued a�d posted o� the premises D���< <O 9p0OPan:y. <br />