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� <br /> ���,�„ INSPECT�ON REPORT <br /> . e �,., ,: � ; <br /> Address � S f �c C : , [ C[l -"���c � <br /> - <br /> � � 7 � (n /� <br /> conhacror ✓.�c (C 'c / <br /> L i " <br /> Ownel <br /> Do1P =•� � ��� �� <br /> TYPE OF INSPECTION REQUESTED <br /> �Q,BLDG� Pmt No.__ S `; / �— <br /> ❑ MECH: Pmt. Nn_ <br /> [] ELEC: �mt. No__ ❑ PLBG: Pmt. No. <br /> ❑ Housinp (] Masnnry L� Insulabsn <br /> ❑ Foolin9 �� Framinq f' GrounAworl <br /> ❑ Foundation ['� Drywoll Nmhng [� Ccnwlto�ion <br /> �-] Sewcr [] Rouqh�ln ❑ Rnol <br /> [) Rrenlnro ond Chimney ❑ Service ❑ Ghu_- __. . .___ <br /> '---:-____ .._--____._'__'.—'—_.- _'_ <br /> __' ___-_.-_._-__--„__ <br /> [ j APPROVAL (] PARTIAL APPROVAL <br /> f 7 VIULATION ❑ CORRECTION REQU�RED <br /> –> _— ==- ---- -- <br /> ❑ C�nec��ons Lsted 6Auw MUST BE MAVE bcl��re warl. can be opyrmed �y <br /> ❑ Work li.led below hos bren inqreclyd and opt�ruvul. <br /> ,❑.�'P�leaie �onloc� msoeclor ond arranqe for oppomlment <br /> �r�vas not ablc to perfo�m inspechon. <br /> ❑ CHIL Y59-B870 FOR REINSPEC710N � - 24 h�w �.�,�ia� re,��u�cd <br /> A Cerb(¢ole ol Occuponcy sholl be iswed onA posted on the prrm�ses prior lo �..pontr. <br /> • � <br /> _1�.� � > . ��.. ,��Z���,.w, � -- <br /> /, .� <br /> �-"�-.�c..� �l„4 �i z o.> - <br /> �n�p«�o,, . � `'C fJ . , _"��—.oa�� /:' �i -� <br /> 1 <br />