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ere.eM <br />� <br />�,�. `' / G'- 1 <br />INSPECTION REPO�tT <br />r`/ �1 <br />ilddress���///� �i r1C: �r. ,�f Y(/i. <br />Owner ��'�^ ^ rT�-� '" <br />Dote � �"� <br />TYPE uF INSPECTION REQUESTED <br />BLDG: Pmt No. ����L p MECH: Pmt. No. <br />ELEC: Pmt. No._ ❑ PLBG: Pmt. No. <br />�] Ho�sinp ❑ Mosonry ❑ Inzulotion <br />❑ Footinq [] From��O ❑ Groundwork <br />❑ Foundatlon ��Ywall Nailinq ❑ Crnsullafion <br />❑ Sewer ❑ Rou9h-In ❑ Final <br />❑ Fireplaca on� Chimney ❑ Servica ❑ O�her — <br />❑ APPROVAL p PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ CorrecHons Iisted belav MUST BE MADE beforc work con be apprwed. <br />� Work Ilsled below has been inspected ond apv�oved. <br />❑ Plnw conmct inspector and arranfle for apPointmcnt. <br />❑ Was not oble ta perform inspection. <br />� CALL 2'i9-8B70 FOF FEINSPECTION — 21 hour notice required. <br />A GAifiCote of Gccupancy shall be �siued ond postrd en �he premises prior ro x��vo�ey. <br />� / �� � <br />