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� <br /> O���,en INSPECTION RERORT <br /> Add.ess_.�C'� � _��i ,�>.� /' .� <br /> _ .___'—�_—t�-�_1_.�_.—___._— <br /> Convactor�> 4-.,�, <br /> Owner._[%ZL_t'-� <br /> —�'-- '_'__ <br /> 0���1��1z.n-- --�r�.�_ -H° ' 3 <br /> TYPE OF INSPECTION REQUESTED <br /> yyfiLfXi�. Pmf. Na�_2 �S [] MECH: Pmt. No.__.___ <br /> (] CLEC Pmt. Nn____ _'_ (] P�BG: Gmt. No.________ <br /> ��` H� u�inp [] Mosonry <br /> �� Pooling Cl Insulalicn <br /> ❑ Framinq ( I Groundw�nk <br /> ❑ FounAoUon (] Urywall Nailin <br /> f 1 Sewcr 7 ❑ C�nsultoti�r <br /> ❑ Ro��h-I� �nol <br /> -L] Fireploce anA Chimncy ❑ Scrvicc ❑ Othcr__. _. _ _ <br /> �PPROVAL'1'� �'''"j�j PARTIAI ApPROVAL <br /> __Ll VIOLATION ❑ CORRECTION REQUIRED <br /> [_� Corrc�cfinns li,tcd hrinw MUST OE Ml�DE 6efrn w-rV. mn Le opprnvcA '�' � <br /> �_) W�nk listed below has bcen Inspected ond rppmvi,l. <br /> �l Plrase conta<t mspeclar and arranpe lor appointmrnt <br /> ❑ Wai not oble to pCriorm in•petbr.n. <br /> ❑ CALL 259-8870 FOR REINSPEC710N - 2� h ��� �„i�c�� �,•yu�.cd <br /> A Grtificale nf Ocruyanty :hall bc itsuM ond posted ,.n tne pr�m,�.s priar lo ettuponer. <br /> /��T-`_`_"�""""1'-�-�..y�'- ��r��s,_.,.�.1� „ .._t'�.: <br /> � � _ �. <br /> �-�=�s-'�+�,� �lln�� ,i-�.r..f-:.�� � ro-�l�. . <br /> / I <br /> ���.p�.ii r _����T.. . . _ <br /> ' ti . �.L . . . � <br /> � �!. <br />