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���,e„ INSPECTION REPORT <br /> � � Addres< � t . �rd'- ! _ <br /> Conlroctor `. 1 Y f� <br /> �-� <br /> , ; " <br /> Owner-- �� _�'� ._ :Tr.r- <br /> Datc <br /> TYPE OF INSPECTION REQUL•STED <br /> ❑ BIDG: Pmt. No, ❑ MECH: Fmt, No. <br /> �, ELEC: Pmt No. . ❑ PLBG: PmL No. <br /> ❑ Housinp ❑ Mosonry � In;ulaticn <br /> ❑ Foolinq ❑ frominq ❑ Groundworb. <br /> ❑ Foundation ❑ Drywoll Nailinp ❑ Ccnsultaic�n <br /> Q Sewcr ❑ Rough-In ❑ final � ; . <br /> ❑ Fireplatc and Chimney ❑ Service ❑ Other � - � �-��- � <br /> �'APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correttians lizted bclow MUST BE MADE bdore work con be opprmcd. <br /> ❑ Work lisled bclow hos becn inspected ond opproved. <br /> ❑ Pleox conlact insvector and orronge for oppointment. <br /> � Waz nof oblc to perform inspection. <br /> ❑ CALL 259-8870 FOR REINSPECTION — 24 hour notice requircd. <br /> A Certificote of Occupancy shall be i�sued and posted on the premises D��or to xcupancy. <br /> �� }' <br /> 1^ �(,P ,-�� �G?U 6C�' <br /> � 1 <br /> � _ <br /> InipCclor � - ' _Dp�r �� � � <br /> ! <br />