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. w .T-- . � , <br /> � <br /> everetl INSPECTION REPORT , <br /> / � �/ � /J,� � <br /> � Addres���--�t-f--���`-" �-- <br /> Controcror��l--�'��-�r- <br /> Owner_L"�—� �-G��"�-��-�--�— <br /> Date—'—.________ ._____'_—_ _'__.___—_ <br /> TYPE OF INSPECTION REQUESTED <br /> p BLOG: Pml. Nn. ❑ MECH: Vmt. No. <br /> �p ELEC� Pmt. No.� ❑ PLBG: Pmt. No._ <br /> � H�wsinq ❑ Masonry ❑ Insulaliun <br /> � p����0 ❑ Frominq [� Gmundwork <br /> ❑ Foundafio� ❑ Drywn�� Nallinp [] Consullation <br /> ❑ Sewer ❑ Rouph-In ❑ Finol <br /> ❑ Fireploca ond Chimn.ry ❑ Service � Other <br /> '�APPROVAL ❑ PARTIAL APPROVAL ' <br /> VIOLATION ❑ CORRECTION REQUIRED � <br /> ❑ CorrecHons Ilsled belaw MUST BE MADE before work can be aPP�wed. � <br /> � Work Ils�ed balow �.as becn inspecled and apPrwed. <br /> � Pleafe conlacl insvector ond orranpe for appdntmenf. i <br /> ❑ Wos not oble to perform Inspection, i <br /> ❑ CALL 259�BB70 FOR REINSPECTION - 21 hcur notice reVuired. <br /> A Certificate o( Occupancy shall be issued and posted cn the premises pdor Po xcupanry. I <br /> _1��--- - .-��- -�r�gc�---- <br /> — _ --- ---- - -- - � <br /> - - - <br /> __ __ _ _ _— <br /> —�--ft ------ �'-GP - .�'�(�t`- c� _ _ <br /> – ---- <br /> �nlPeclor_ty�Jet/-WL.fF- `�-�A-�_'.lfr'�"--�___.Dale-�L•--t-� <br /> c <br /> .M <br /> .te�g,.�, ' <br /> r <br /> 1 <br /> � <br /> r_ <br />