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���.�„ INSPECTION REPO�T� <br /> e �d,«._ ,^� �� � � <br /> Canlraclar ` 1--Q�- v-� \ <br /> Owner (���"�'� \�� <br /> Dole_ ��/����/ <br /> TYPE OF INSPECTION REQUESTED <br /> � B�fi� Pml. No. [� MECH�. Pml. Nn. <br /> (�LEC: 7mt. No ���-�� ❑ PLBG: Pml. No <br /> ❑ Housinp [� Mofonry �J Insulolmn <br /> ❑ Foolinp ❑ Fmming [' GrrninAwork <br /> � Foundatlon n Drywall Nud�np [� C� eullolion <br /> f� Sewa ❑ Rouyh-In �I <br /> ❑ Flreplace and Chimney ❑ Service [] Other _ <br /> �APPROVAL [] PARTIAL APPROVAL <br /> [] VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ C�rretfions listed bcinw MU51 BE MADE Lcirne warl. wn Le apP�wed. <br /> [� Work Iis1eA bNnw hm hPen insPtttcd ond apP�o�.J. <br /> � Pleata eonlacf mspeclor and orranqe lor appomtment <br /> ❑ Wat nut ablr tu perlorm Impecbon. <br /> ❑ CALI Y59�BB70 fOH REINSPECTION 2� h-ur r���tiu• rcyuurd <br /> A Cerlihmte of Occu{wncy sholl be �sweA onJ y tte,l �n �he prrnm��s priar 10 xeupantr. <br /> � <br /> � �-(�L/0� � �- <br /> -�' �' ;- --- � - -- <br /> , . <br /> ) , �/ <br /> �n�{�etror - +!���(y--`_:L' �ii_!�te..t� f>>ti•_ � = I-1LS�___ <br />