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���.�„ INSPECTION RERORT <br /> , / <br /> Address (p <br /> Conlmclnr_ <br /> Ownrr <br /> Dale <br /> TYPE OF INSPECTION REQUESTED <br /> � BLDG: Pml. Nu. ❑ MECH: Fmt. Nn.� <br /> ❑ ELEC Fml. Nu �BG: Pmt. No <br /> �� Ho�.sinp I1 Masonry I] Insulatr n <br /> ❑ Fwl�n9 [] Framin0 ❑ GroundworL. <br /> ❑ Foundalion ❑ Drywall Nai6n� 1] C�.mul�a�i�•n <br /> ❑ Sew�r ❑ Rouph-In L�j.(�n�� <br /> ❑ Fireplace and Chlmn ❑ Scrvice ❑ Oiha__ __ <br /> a "— ._ '___.,'- _".._,__—_'-_--_ _ __=_���z <br /> A PROV [] PARTIAL APPROVAL <br /> ❑ TIUN �,CORRECTION R[QUIRED <br /> ❑ Corrections listed belnw MUST DE MADE bel.�re worl mn 1 a a� ;rved. � <br /> � Wor4 linled below hos bcen inspecled and approved, <br /> ❑ Pleose contact inspeclor ond arronpe (or oppomlmenl <br /> ❑ Wos nnt oblc lo pe�form impectwn. <br /> [] CALI 259�Bfl70 FOR NEINSPKTION �- 2� hour no�icc reyuved <br /> A �erlilim�. le ol Occupancy sholl Le Ismrd and p�.�sted'�m the premises prior ro «e�p.n�y. <br /> � 'Rr.1 : . ��$f'�xs��G2. ' <br /> �'<<-N uy�,c� s`� � 3A + navc2vcNl �rt,q�Tl9 <br /> ►�.T�r, �.c. L e o.w 1 <br /> _ �- C; : lo��— <br /> o�l . ��� �w11�4 ��✓9t �.o21PfGfIol�S <br /> .� - <br /> io,n«m,_7 �1.� - --.oa�� c� ' �-c�'�-- <br /> _ ` <br />