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���,M I1�lSPECTION R�PO�RT <br /> � e < ���-�, <br /> Mdress ? �°+ � <br /> Conlmclar �n �`Q.� , <br /> . <br /> Owner� �L'-v`--. <br /> Dore ����f�— <br /> � TYPE OF INSPECTION REQUESTED @ <br /> ❑ BLDG� Pmt. No. ❑ MECH: Pmt. Nn. � <br /> �Pmt. Na � PIBG: Pmt. No. <br /> � HwsinQ (] Masnnry [7 Imuloln n <br /> ❑ Footlnp [] Frominq ��� Gr�,undwnrL <br /> ❑ Foundalion [] Drywall NaJmq [�] Ccnwime��n <br /> �] Sewcr � Rouph�ln [] ���a� <br /> � Firtplace and Chimney ❑ Servlu ❑ Olher .___ <br /> � �APPROVAL [] PARTIAL APPROVAL <br /> VIOLATION ❑ CORRECTION RECUIRED <br /> � C�nrctiom liited helrnv MUST BE MA�E Lrinrc wod car b� opprwed. <br /> ❑ Work listed below has bee� Impe<ted and cppravcd. <br /> ❑ Plaaw contoct Inspecror and arranqe lor ovmm�finent <br /> ❑ Was nof able lo perb�m in�pttbon <br /> ❑ ULL 259-BB70 iOR REINSPECTION 21 haur nmicc reVw.eA <br /> l� Cerb Sicate ol O�ccup'oncy sholl be iaved ond puvrJ on Ihe prrmises prior N xeuMnty. <br /> C�i�'(� � O`.�/RP�( — <br /> � � c� z� <br /> , <br /> �. _ , - <br /> Intpecfor /-C/�� (- _' �r � `���� _Dal� j _ �- . <br />