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�� � � <br /> � �� INSI�CCTION REPORT <br /> � . <br /> Address_ I ��.� ��f�u,� <br /> �I . <br /> . Conlraclor <br /> Owner. <br /> Dale_ �-I/ �CG � <br /> ❑ APPROVAL ' i:] PARTIAL APPROVAI � <br /> I O VIOLATION r� CORRECTION REQUESTED � <br /> O Carectbne Nsled below MUST BE MADE belae wak cen be epprmed, <br /> O Pleeee conlec� i�apeclor and arrenge lor eppolnimenl. <br /> O Wee not able lo perlorm Inspectlon. <br /> O CALL 25Y•eB10 FOA REINSPECTION — 2A hour nollce requlred <br /> A CERTIFICATE OF OCCUPANCY SHALL OE 15SUED AND POSTED <br /> aN THE PREMISES PRIOq TO OCCUPANCY. ' <br /> � � <br /> I � _ NO NECOIiD OF i(EQUEST FOR INSPECTION WITIIIN LTST <br /> 180 DAYS. FILIS HAS BBEN 86NT TD AECO[iDS FOR <br /> NICROFILMINC. <br /> Mspecbr Dale <br /> TYPE OF INSPECTION REOUESTED � <br /> O Temp. Elecl. p rreming p Gas Piping <br /> �Fooling Q Urywell, Neilinp p Gorsullallon <br /> O Foundellon O Shesr Nalling p Groundwork <br /> O Ducl�vork O O�Id (7 Slrucl. Sleb <br /> O Wood Slove ❑I7ovgh�ln p f'Inel r <br /> O M�eonry p Servlcs p Inaulalion <br /> n om��_ <br /> . � � <br /> O BLDO: Pml. No. ❑MECH: Pinl. No. <br /> ❑EIEC: Pml. No.E �� "C q PLBG; Pmt. No. i <br /> � <br /> I <br /> I <br /> � <br />