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� <br /> �-�'�%'�'c� <br /> evercll �NSPECTION REPORT <br /> . � Aa'dress_- ;1�� �/ �E��C'•�r . i�r< - <br /> ,� / JI <br /> co,a.a�ro. 11 �.'l /pc�!„¢„�. - <br /> �'�- - <br /> Owrier <br /> U�J <br /> Da�e� r ,.. / <br /> TYPE OF INSPECTION REQUESTED <br /> �.�9LDG: Pmf. No.. ' �/!) � ❑ MECH: Pmt No. <br /> ❑ ELEC: Pmt. No. � PLBG: Pmt. No. <br /> ❑ Housinp ❑ Masonry ❑ Insulation <br /> ❑ Faotinp ❑ Framin0 ❑ Groundworb, <br /> ❑ Foundolion ❑ Orywull Nailing ❑ Sw�siiltotn.�n <br /> I7 Sewer ❑ Rouph�in {�Fmol <br /> ❑ Firep�oce and Chimney ❑ Service ❑ O�her <br /> �APPROVAL [] PARTIAL APPROVAL I <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED � <br /> � � Corrections listed below MUST BE MADE belore work. mn be opprovtd. <br /> ❑ Work listed below has been inspected ond apProvcd. <br /> ❑ Pleose eonlocl inspeclor and orranpe for oppointment. <br /> ❑ Was not oble lo perform inspeclion. I <br /> v CAIL 259-8870 FOR REINSPECTION — 24 hour not�cc reyuucd. <br /> H Certi(icate of Occupancy sholl be issued ond posted on Ihe premises prior ro ucuponcy. <br /> . -�- i ' � ..� !'. <br /> � <br /> .� <br /> 7 <br /> / <br /> / <br /> Inspecbr pp� <br /> � <br />