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1 <br />� <br /> I <br /> I <br />� <br />� <br />� <br /> i <br />� <br />' G��- �� <br /> I' INSPE�Y!�,?lN REP���T' <br /> �sfll <br /> F � , .�, � <br />' � �dd,�::_—�k3-.�L2����,.L��=- - -- <br />� Contmcror � � <br /> Owne� M �.�r.J@,.7� <br /> IDote --�_�lJ��/ <br /> ��� TYpPE OF INSPECTION REQUESTED <br />� �ytllDG' Pmt. No._O �cF v <br /> ❑ MECH: Pmt. No._____ <br />' ❑ ELEC: Pmt No.___ ❑ PLBG: PmL No.__ _____ <br />' ❑ Hvusinp I7 Mysnnry ❑ Insulofion <br /> I ❑ FooUn9 [�raminq ❑ Groundworh <br />� ❑ Poundalion [] Drywoll Nuifing ❑ Ccn,ultobon <br /> ❑ Sewcr ❑ Rough-In ❑ Finol <br />( ❑ Fireplare and Chimney ❑ Scrvice ❑ Other__.__ ___ '__ <br />� �.APPROVAL ❑ PARTIAL APPROVAL <br /> I _ ❑ VfOLATION _ ❑ CORRECTION REQUIRED <br /> ❑ Covections li�ted be�ow MU57 0: MA�E belere work con oe apprw � <br />� ❑ Wark lisled below hos been Ins{rected ond opproved. � ♦ <br /> I ❑ Plenu contact inspector md orronpe !or appoinfinent. <br />� ❑ Wot not oble ro perform inspection. � / <br />� ❑ CHLL 259-8870 FOR REINSPECTION -- 24 how nntice rcVui� ��• <br /> �� <br />� A Cer�ifitple ol Occu�oncy sholl br rswed ond posted on Ihe premises prior /o x<uFanar. <br />� _-- ���1�i <br />�,I � �� - <br /> � <br /> I _— �� <br />�� – -- <br />� <br /> il _ <br /> ��,pecro. oare � <br />, L <br />� _ _ — �_ —__— <br />