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:�, <br />„ �. � ,. � �' �.� ' <br />�_ <br />Address <br />����o -/�'_ <br />O ^ � ° <br />Controctor_-�-� <br />TY�PE �O//F �INSPECTION REQUESTED <br />❑ BLDG� PmL No. t'_P� '—=— ❑ MECH: Pmt. Nn.— <br />❑ ELEC: Pmt No._---- <br />p PLBG: Pmt. No.� <br />� Mosonry ❑ Insulation <br />� Housin9 � F�oming � Grcundwork <br />❑ Faotin9 � p�Yµ,��l Nailin9 ❑ C"n:ultatian <br />❑ Foundation � Rcu9h-In '^O� <br />❑ Sewcr Othcr�— <br />❑ Fireplace and Chimney ❑ Scrvice __ O _, <br />`� APPROVAL ❑ PARTIAL ANPKvvr+� <br />❑ VIOLATION ❑ CORRECTION REQUIRED ___ <br />- - - -------- - — - roved. <br />❑ Correetiens IisteC beicw MUST BE MADE befure work ean be aVP <br />�] Work li:ted belew has bcen in;peeted and approved. <br />[j Please contoct inspector and arrange for apPointment. <br />[�, `Nos not able to Per(arm inspccti<n. <br />❑ CAI.L 259-8870 FOR REINSPECTION — 24 h:-ur rmrtc rcauired. <br />A Cerfifieote of Occupency ;hall ba Is,ued ���� p�sted en the premises D���� t^ oeeuDaney. <br />Inspeete•__ <br />