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everetl <br />� <br />. /.,. ..'�, !. e :,'� � ,� ��. - <br />i <br />Address_ ��L� ^ /V � �� ��I— I <br />Cantroctar� /��'�� {'%�N�� `-'�'` <br />�J� O <br />�wncr __ <br />�,� 7�/D ��U _ <br />TY`PE OCFj INSPECTION REQUESTED <br />�BLDG: Pmt. No. V� /� ❑ MECH: Pmt. N.� ._ ___ <br />❑ FLEC: Pmt. Nu. ❑ PLBG: Pmt. N-.�____ ..._- _ <br />❑ Hausing [; hloioory (] Insulob ;i <br />� Foo�ing �] Froming �1 GrounJ�., �' <br />I] Faundation rywoll Nuilin� ❑ Crn�.uli�,:�. �:, <br />! ! icwcr ❑ Rough-In ❑ Finol <br />; j Fi:�ploce ond Chimney ❑ Service ❑ Other_. ... . <br />'__—._'--_ ..__.___— _._. . <br />� APPROVAL [] PARTIAL APPROVAL <br />❑ VIOLATION [] CORRECTION REQUIR�C <br />------ - - _ __. <br />� I-I i;errections listed bclow MUST �E Ml�DE br.( rc w�.�: - �. ,,p;�r,:�-.I� <br />❑ Wurk listed below hos bem inspected ond appruv�J. <br />❑ Plcose contaCt inspetror and arronge for appoinlmrN <br />� Wos not able lo perform inspettian. <br />❑ CALL 259-8d70 FOR REINSPECTION — 24 hcur :�-,�,.. ,,...., <br />!, Certifieafe aF Otcupancy sholl be issued and pasted on �he premises prinr ^� �.. ,. c, <br />