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i <br /> P��.�„ INSPECTION REI�ORT <br /> O _ J '` <br /> Nddress__���� —^� �__�_��.:l4�_� (� j �_�...__ <br /> �„�Imcfor___ �.�`" ��)�.L� �lC a) �—]� <br /> Owner'_ _—_'________. <br /> fh'.ir__—"—'__'_�._'��_'_—_��""—__'___' <br /> TYPE QF 11JSPECTION REQUESTED <br /> � <br /> --'j�OIOG: Pml. N���`��� `% � [] MECH: Pmt. No._ <br /> (1 [LE� Pmt. Na. _ . _______ �] PLBG' Vmt. No______ <br /> I.� H-wsi�q C1 Mns�nry �] Insulatirn <br /> ❑ Fcmtin0 ❑ Fram�nq [] Gmundwark <br /> ❑ Foundotion -Q'�rywoll Nnilinp ❑ Consullotirn <br /> f I S�w�r ❑ Raugh-In ❑ Flnol <br /> [� Fireplare and Ch�mneY (l Scrv¢e (] Other__'_ _"'_"___ <br /> --: ---.'-,>_—'__---__'�____-_—__�'___—__ ___ <br /> �APPROVAL [, Pl�RTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTIOR REQUIRED <br /> � ['j �Cnnection; licted bclow MUST BE MADE brl��rr wnrk wn be opproyed, <br /> ❑ W�rtk litted below hos Acen InspecteA anA apPrnvcd. <br /> ❑ Please Contoct in5pector ond afrppy� �or oppomtment <br /> ❑ Was not oble lo perlo�m in<pecticn. <br /> ❑ CALL 259-8870 FOR REINSPECTION - 21 hr.ur noticc reyuired. <br /> A Cerllfieate of Oaup,�nq� di�ll I��� iuii�J ond V�sIcJ rn Ihe premises prior fo utupanty. <br /> � <br /> __ —� <br /> —� , � _ <br /> L� / �y <br /> // �7 <br /> ' hIS�IIi1CL ._ 0 z � Y <br /> � � — �.. _ ... __. Dotc_ ':� 7f _ .__ <br /> -t-}.�. <br />