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���,�„ INSPE�"�'ION REPORT <br /> � Mdress � � � <br /> Controcfor ' "�'--' �"^----' <br /> Owner_ �� A �X.e.7 � � <br /> � Date � /.�.��� _ _ <br /> T`(PE OF INSPECTION REQUESTED <br /> : Pmt. tJa_ ❑ M : Pmf. No, <br /> ❑ � <br /> ELEC: Pmt. Na� 1 y� BG: Pmt. No. <br /> [j Housinp (] Masonry ❑ Insulati<�n <br /> � Footinp ❑ Frnminp ❑ Groundwo�F. <br /> ❑ fourdotion ❑ Drywa�l Nailinp ❑ C .ultaUon <br /> ❑ Sewer ❑ Rouph-In mal <br /> ❑ FireC�oce and L'himney � Service ❑ Other___. _ <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> IOLATION Q CORRECTION REQUIRED <br /> ❑ Correclions Ilsted be�ow MUST BE MADE belore work can be opprwed. <br /> � Work listed below has been inspecled and apprwed. <br /> � Pleo�e confact inspector ond arronpe for oppointment. <br /> � Wos not oble to puform inspection. <br /> ❑ GLL 259-8870 FOR REINSPECTION --� 24 hour nolice required. <br /> A Certificole ol Ocwpancy sholl be iszued ond posfeo on the premises prier Po xcupencr. <br /> / ' /o� <br /> �/ O(zQ -�— <br /> � � " <br /> .,Lo�i�1, s. � , � <br /> � �yc*� Infpector � Dat � <br /> y�. ,iy , <br /> 4A f�~ <br /> a�4.n6�89"1 ._. .. . � . <br /> r <br />