IR - 28067� 13166�
RT
CITY OF DLEY Mll�ll
12) 572-3604
ADDRESS ��p
OWNER
0
BUILDER
DATE �Q /��� 9�g PERMIT NO.
DESCRIPTION ��� �r ����� `—f
INSPECTION REPORT
DATE REPORT
If no co ns are listed above, approval hereby given to p d. You will be in
violatior�Fie ordinance if you do not call for the proper i�tions and make
corrections as called for.