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���,..,, � INSPEC�IOIV �AORT�
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<br /> s TYPE OF INSPECTION REQUESTED �
<br /> ; I f3L[Kr F��,t IJ �.. .� .______. ��� M@CIi: Pmr. Nn._ �_ �—. . _.-._.
<br /> � ! CLfC: 1'mt. N�• . _ __ _. .___ . n PLBG: Pmt. Nn_ _ . � ' ._
<br /> � ' Ilr.u.inn � I M�tcnr�' [) Insidali� ��
<br /> i I Fc.l�n9 I I Framinp (�I GrounJH. ,'
<br /> I � Fni�nAaticn . 'r Uryw^II Nnil�,np ❑ Gn�.u'i..i �.
<br /> � i C�H�•r � � I�,uqb.ln (� Fnal
<br /> I 1 fu��;I.irc nnA Chininry � � c���ic, _ ('. Other_ � � .
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<br /> ! APPROVAI_ ; ; PARTIAL APFROVnL
<br /> I I VIOI_ATION � � CORRFCTION R[QUIRfp
<br /> n c.������-�5 i ,i,d i,i,w nur,i uc nnnne ��:i ,�• ,. „ �, r,• ,:r�,-�,,,i
<br /> \.-��j W��t L�,ted Lob.w hes Lecn ins�•ectcd and opprev.�'
<br /> [� Pleasr c.rnin<I insPcr.lnr and orrande lur appninln�n!
<br /> [� Was not ablc to perform in�pechrn.
<br /> � j CI�LL '159-8810 FOIe FEINSPEClION � �� 24 h u� �� � � . ,.. �.
<br /> n C,.�tdicnle ol Octtq.any zhall Le ismed and p��sted ,�n Ihe preni,tes priu. lo occuponry.
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