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fV� A�S�'���o�N REPORT <br />/ � n <br />/ ��X <br />Address_ ��_� l.__� � ,fl L �� � <br />--�,—�-���oc��`-�-- <br />, <br />coor,ocrar / , <br />Owncr____' L_��S "�'l, <br />"-� I�j � ---�_ <br />___.- Dorc'._.__.______ �___k—�- � <br />7YPE Of/ INSPECTION REQUESTED <br />--i'J��DG'. Pmi. No.___`� !�_ � MECFi: Pmf. Na.,__ <br />❑ ELEC: Pm�. Na._,___ <br />------_ ❑ PLQG: PmL No.�_ <br />�l Hcu;ing [] Mosrnry <br />❑ Footinp ❑ Insulaticn <br />❑ Fiamin9 <br />�{-�'undolion [J Dryw�ll Nailin � Grcundwcrk <br />f 1 Srwer 0 ❑ Crn,ultatian <br />� I Fireplo<e ond Chimncy � Rough-In � fmnl <br />. . ____ _,_ _ _ --_ __ —� Scnice ❑ Othcr._�____ <br />�APPROVAL [� pqRTIAL APPROVAL <br />_ ❑ VIOLATION j] CORRECTION REQUIRED <br />O Correcricns listed belew MUST UE Mn�E befere wo�k ean be � —_ <br />❑�Y�rk lisled bclow hos bcen inspected ond o PPrw�d. <br />[] Pleaze eontaCt inspector and nrran c(or �'�reved. <br />❑ Was nof oblc Io 4 °OPointmenl. <br />perform in[pecticp, <br />❑ CALL 259-8870 FOR REINSPECTION - 2e ti ..... .....:.. . .. <br />n Ccrbfitalc cf Oc<ut;ancy .h�ll Lr isnicd and osled rn <br />P ihc prcmises prior fo oe<uponeY• <br />- � .___7'� �1'� <br />__ —_ __. <br />) _' - __ ._ ____. - .. <br />_ _ {� <br />-�/ � __ <br />_ /D/ _ <br />_ l _ �- ���`:��_- - <br />__ _ _-- _ _ <br />_ - - ��� <br />_ - <br />- - -_ -� - <br />�- <br />�,,:,,,.,, _ .� � - <br />_ _. .- ///J, <br />, . _.-r!'_. .._ _ ._ Dafc_�/!�/ �/ <br />� _ <br />{':w• � <br />