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�`� <br /> ���,�„ INSPECTION REPORT <br /> O AAdress_�.1441i_5/C� 40 - 5(J __ <br /> � <br /> CoNrocfor__ _� K,�S%'f . <br /> Owner_--_ _ —'--_ <br /> Uatr'—"'___ . _ ___—�—/�—� / _ _ <br /> TYPE OF INSPECTION REQUESTED <br /> �;j flLDG� Pml. Na.__..___—__ ❑ MECH� Pmt Nn_.__ __ <br /> fl ELEC: Pml. No.___—_ � PLBG' Pmt. Nn._(: -�..Z. �_ .—__ <br /> 1 I Housin0 I.1 Mnsanry �] Insulati�n <br /> [J R�otin9 ❑ Froming f I Grcundw��rb <br /> �] F�undolion �j Orywoll Noilinfl [J Cnn,ulluL n <br /> 17 Sewcr ❑ Rouqh�ln ❑ Fmol <br /> I] FirePlac. �nd Chimney ❑ Scrvice [] Olher_5_.'� _• � •_� ._ ._. <br /> �APPROVAL �J PhRTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRCCTION REQUIRED <br /> ( � CorrttNons Ilsted Lclow MUST OE MADE bclam wark ean be aPPnwrA. <br /> �] Work Iisled belaw hns hcen inspetled and oppmved. <br /> �-� Plrose centact insperlor and ormnge for oppoinimenf. <br /> ( I Wm nat aLle lo perlorm in•PcUion. <br /> � ; CALL :59�8870 FO''. f�EINSPECTIOIJ -- 24 h�or no�ice rcquired. <br /> n Ce�lilicate ol OsuPor,;Y •h�il br i<�i�ed and p��sied on the premises prior lo xeuDaner. <br /> Co�. s 7s . - � 5 - M,S 4 �'A,^� ��An�cs <br /> . <br /> � _ _ r, o� - F:'�, - G ' R,��N !-ar�Qa,�S_ <br /> i��.,,�,� , ��i7't�ca�_. _��l �L...� � � u�i�. �7 � � �� ' ��- <br /> ��.., <br />