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, _ <br /> 0���,�„ INSPECTION REPORT <br /> Address /II ' �Eg � f/� <br /> Contm[� /`� r yON,g� . ��I3V. <br /> Chvner ' •` E ���� . <br /> Dote O � ,� '�' <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ OLDG'. Pmt No. MECH Pmt. Nn. � 9 7� <br /> ❑ EIEC: Pml. No �PLUG. PmL Nn <br /> [] Housinp I� Mas�nry f7 Insulali.n <br /> [] Foolin9 ❑ Framinp �1 G.�,undworl <br /> ❑ F�undation n Drywall NaiLn9 � ) Ccmultaln�n <br /> �] Sewcr ❑ Rough�ln x finol <br /> [7 Fireplace and ChimneY I1 Service [] Oiher____ -'- — '--- <br /> � ..___= <br />