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� <br /> ���,�„ INSPECTION REPORT <br /> • O 1 '�✓ �` ^>-::,.e /i�--- -- -- ----� <br /> Address_y1 '__--' <br /> � <br /> C��,��.�ctor_'_ <br /> Ownrr .I-�-�-�.___._ n,vr._) a .�s� <br /> � i�j_ / � �li��_ f�: � . -, : /! ei . . <br /> � . � !<r .-__ ___- <br /> IYPE OF INSPECTION FEQUESTED <br /> (� T�l(K,: Pmi. NoLl-�l7� l7 MKN: Pmt N�___ . --_.- <br /> i ', Cl[C Fmt. Na._- ---- ( i PLBG' Pml. N�•.__.__ _ ._ <br /> 11 �cin� [] Mntinry L) Ins•.daL n <br /> I I L�.�tinq ❑ Frnminp (-1 Grnundw�•�V. <br /> � f.�unAatian ['I Drywnll IJailing [.1 C�.n�.ulla���'n <br /> . . ...wcr ❑ Rou9h-In p-Ftnal <br /> Service ❑ Olhcr_..- - ---- <br /> � 1 fueplace and ChimnrY ❑ ____y____"__'___-._ . <br /> �XPPkOVAL �L� P RTInL APPROVAL <br /> [] VIOI�TION ORRECTION REOUIR[D <br /> [] C�rtietians I�s1cA Lcluw MUSl 6E MADE bclmc w�rk can 1��, r,pprrveA. .-. . <br /> ��� Wurk Inted below h�s bern ins�ected and apprrned. <br /> �] Vlcasc euntacl inspcctcr and annngc for aDP^��iment <br /> �] Was �n� oLie to perform in•pcclicn, <br /> [� CALI 259�8870 FOR REWSFEC110N - 24 h,u� " �'�" "��""'� � <br /> h Cerlifrtale al O<eutwncY shall be ixsucd anJ p��steJ on ihe pre�n�.ses prior Po ae<uPaner. <br /> � 1.�'1=..�'� <--f. . �'�'t_'__.��-�-r+r'�. e'.!r �- .l�' �� �� . <br /> __ _ <br /> +�I �(.�L..�_ / �N��i-f�- ,�.c�-i ,yyv__T'.^_ CL�. <br /> � `.� - � � a. - _. -_ . _ <br /> �. I . +/��.�9�. /'� .:- �M�'fY-�-�.t �ftl._—�^�.. <br /> � r. <br /> + �//! �r .;��T i7'� /r. ! <br /> / ���/1:i 1 if� /tfi�/jf..! f��Jln� . .,�- . . <br /> / / A <br /> '<�`' �,�� L�"' <br />