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evereH <br />� <br />�] BLDG: Pmt. <br />n ELEC: Pmt. <br />�] Housi�fl <br />p Footing <br />[] Foundation <br />❑ Sewer <br />� Fireplace <br />_.�� /.' .:'�j. <br />���������� ������ <br />(����yyy/ (/ � CeJ <br />{�ddress �`���'�` � �Cx! . <br />\ � ' — <br />� '�� C ���'?_.J-�'ti-w�,. <br />Ccntmctor <br />�/ � �� �ii � , G' �r�� o <br />ow��� � <br />Datc_ '—/,� �� � <br />TYPE OF INSPECTION REQUESTED <br />� M H: Pm�. No.—_— �--�> <br />. LBG: PmL No._G---S--�—=--C— <br />[] Masonry <br />[] Fromin9 <br />� p i Nuiling <br />ough-In <br />rl Scrv¢e <br />� Insulalion <br />[� Grcundworb. <br />� Cr.nsuita�ion <br />� Final <br />� Other_-----_____ <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ 10 l"ION ❑ CORRECTInN REQUIRED <br />=-� -- <br />_---- <br />� p Correttions listed below A1UST BE MADE beforcowo�rk can be avv�°"°�- <br />� Work listed below has been inspected and °a��tment. <br />� ploose contoct inspeclor and arronge for apP <br />� Wos nof able to perform inspedicn. _ 24 haur noticc rcquired. <br />n CALL 259-8870 FOR REINSPECTION <br />.. _. n_.........�„ chall be issued ond pos�ed on Ihe premises D��o� t� °CYr°ncy. <br />:✓�� fh�tr__----- <br />( . �;.,_ , �--- <br />�,�n <br />InsDeCror_— - , <br />