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O�.�.�„ 1lVSPECTION REPORT <br /> Addresf �// �'�/ . � - _ <br /> Contmclor <br /> Owncr <br /> Date <br /> TYPE OF INSPECTION REQUEST[D <br /> [� qLOG� Pmt. No. ❑ MECH: Pm�. Nn. <br /> ❑ EU:C: Pmt No. ❑ PLBG� Pmt. Nn <br /> ❑ Housinp �7 Mosnnry I] �nsulnw,n <br /> ❑ Foatin0 ❑ Framin9 �1 Gro�mAwnrk <br /> ❑ foundalion ❑ Drvwall Nulhn9 ❑ Cr�nwlmbor. <br /> ❑ Sewcr ❑ R�uph-In ❑ Fmol <br /> ❑ Fireploce and Chimney ❑ Srrvice ❑ Other <br /> ��{ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � Correctiont lisled Lclmv MUST �E MADE Lclnre work con be apprwed. �� <br /> � Work lis�ed below hos bcen inspe<ted and ap��rovi�d. <br /> ❑ Pleaw conlact msneclor ond ormnpe for appomtment <br /> ❑ Wat not oble lo perform impectian. <br /> � ❑ CAIL 259�0870 FOR REINSPCCTION � I� h��.ur no�itc reyuued <br /> A Certi(imte of O<cupan</Y s�holl be nsurA and pos�cd on Ihe prcmius prior 10 xaupenq. <br /> liCn.<<�'.+�� CB�' <br /> C% <br /> � — L�'X� <br /> _�� �� <br /> ��,� __ ���L�-i�-��-- <br />