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���.�„ INSPECTION REPORT <br /> OMdresf�l� � / . . ♦�< <<t• _ <br /> Conlroclar ^" `�� " LL'�_ / ' <br /> pwner r /C �C -- <br /> Dnte_ <br /> � TYPE OF INSPECTION REQUESTED <br /> ❑ BLOG'. Pml. No.__ ('� MFf,H. Pmt. Nn.— — <br /> ❑ PLBli: Pm1. No • <br /> IA�ELEC: Pml. No _— . <br /> �� 17 Mosonry ❑ Insulab�n <br /> �] Hou+InO U Fram�n9 �] GrounAwnrF <br /> � Foolmp �cnsullalion <br /> o F�,�ao„�, CI DMvnll r,�����9 ❑ <br /> ❑ Ro�Oh.�n ❑ rma��� i c� <br /> [] Sewer Olher_L�LS..—�-- <br /> � FIrtO�oce and Chimney ❑ Scrvitt ❑ _ _ _ <br /> �� APPROVAL [] PARTIAL APPROVAL <br /> �p VIOLATION �] CORRECTION REQUIRED <br /> ❑ Corrocllonf lisled belrnv MUST BE MADE brinrr work con be nPp�a'�d. <br /> � Work Ilsted below has been Inspec�ed ond opp����'�� <br /> � Pleafe eontacl insvecror and armnpe lor aDDoiNmrN <br /> � Was not able lo per(orm ImnKtion. <br /> ❑ CALL 259�BB70 FOR REINSPKTION -- 2� hnur notice �eVuireA <br /> A GNiheal cuponc) shall be issued and p�,stvA nn Ihe premises pdor ro oeaup.eer. <br /> �s2(d C 1� /' .— r4-�.( — <br /> /C-t�_�'_ <br /> �1������–[_�_�'8-�--''�--�s�r <br /> _�— . . - — <br /> �—, )� —– <br /> _ _ <br /> /+ � <br /> � �. � C— �� [Mte �%���� -- <br /> Intpeclor._ <br />