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. ���,e„ INSPEC'TION REPORT <br /> � Address-3CO 3 !_{/_/�_�An _�n���'__..___.—_ <br /> 7 <br /> �nnlrcctor_— - <br /> Owncr_i.�cs _' __"—_ <br /> �__ <br /> ua���lz�i'i_���_._ya '9� 1�ri���", rxT- <br /> �_� � TYPE OF INSPGCTION REQUESTED <br /> y (] MECH: Vmf. No._---- <br /> ��0[pG: Pmt. N�.�O 3 �� PL86: Pmt. No. <br /> p ELEC: Pmt. No.-_ ----- <br /> [7 Hausi�p (J Mas�nry ['f Insulalion <br /> (] Faolinp �l FrominO �1 Greundwork <br /> ❑ FnundaHon [I ��Ywoll Naillnq ,[,1, rC�rnwltation <br /> [� Rouph-In rr•���� <br /> fl Sewer Other_--- ----- <br /> ❑ Firepince and Chimncy ❑ Scrvice ❑ ___ __ <br /> [�KPPROVAL U PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED_�z <br /> ❑ Correctinns lisled 6dmv MUST BE M/�DE bclorc wnrk can be aDP��'ed. <br /> �] Work listed below has bcen Inspecled and apP�a�ed. <br /> [] Pleose contacl inspeclnr ard arranpe (or apPainlmeN. <br /> [] Was mt able lu perlorm Inspetticn. <br /> [] CALL 759-8870 FUR kEINSPECTION -- 2� h�mr natice requircA <br /> A CerNfltote uf Oceupancy shall be luued and p�>s�ed on Ihe premises Orior lo e<tupaney. <br /> . � , n .. �5.�� <br /> �/ � . , <br /> _ _—�6L�J"-""-= c �"/�!�/ y►"_'"'�'� � __ <br /> ____`� . / <br /> _. . _. _ -. . � _ __ _' __ .. . <br /> ._—._._—_______— -_. <br /> _ . - /f/�y� oo�e_j/i7 /7 %_.. <br /> InSPrr,���r. _ 1�niL3�T.-"`.�rr . - _. — _ <br /> '�$.1. <br />