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, <br /> �y <br /> i <br /> ev�rttl INSPECTION REPORT <br /> � Mdress_—�t/.�---"-`�'—t"—"— � <br /> Controcror_._. _�T��— <br /> Owner��`-�-��O� � <br /> Date--__._ . _.u���_�� <br /> r 3 � TYPE OF INSPECTION REQUESTED <br /> �ALDG' Pml. No.__ ❑ MECH: Pmt. No. i <br /> [] ELEC: Pmt. No.___--- ❑ �LBG: Pml. No. <br /> f1 Hvsin9 Cl Masanry ❑ Insulotinn i <br /> (� Fxlinq �Fmminq fl Grcundwork <br /> prywnll Noilln9 ❑ C�rtidtatiun <br /> ❑ Poundalion � � Final ' <br /> �] Sewer ❑ Rough-In i <br /> � Fireplace ond Chimney ❑ Service O Olher_ <br /> � APPROVAL ❑ PARTIAL APPROVA� i <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrmtlons listed bc�ow MUST BE MADE before work can ba aPP�a'�� � <br /> [] Woik Gsted below hos bem inspected and apPr�vn1. <br /> ❑ Pleou toNacl inspectar and armnfle for aPPalnlment. <br /> � Was not uble to perform inrpMicn. <br /> p CI.LL 259�8870 FOR REINSPECTION - - 21 hnur nnl�cc requireA. <br /> A Cerllficole af Occupancv sholl be issued and Va« "� the premises O��or to ueapancy <br /> � / <br /> -- � - .�_'S� -� --- - _ _ _ _ <br /> , <br /> -- - ---- <br /> _ .__ G� _ 7�f- <br /> __ __ <br /> _ ._ _ �CJ� - <br /> Ur.x�'rrC <br /> __ �..�'� � <br /> {/�w1�9 - -- � <br /> ! ' <br /> InspKtor__ .. . — � (,��./�`�`--- . .�le_� v -L'•"/— <br /> � <br /> 1 ��� <br />� <br />