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_ ,� . ,. <br />� <br /> f <br /> I <br /> t. <br /> ��...� INSPECTI�;"; REPORT <br /> � /Wdress ���� <br /> Conhatror • ' <br /> Owncr <br /> oo�� �— �,2 O—� <br /> ---� --- <br /> y TYPE 0�SPECTION REQUESTED <br /> ,k7 BLDG� Pmt. No.__��.,� � MECH: Pm1, No. <br /> ❑ ELEC: Pml, No._ ❑ PLBG: Pmt, No. <br /> ❑ Hwsinq [] Mosnn <br /> ❑ Footinq �` ry ❑ Insuloti�,n <br /> � Foundation ❑ G����+ndwor6 <br /> ❑ Scwcr h^Q`—n Ccn;ultatian <br /> � Rouph.ln /—��I <br /> ❑ Fireploce and Chimney ❑ Service ❑ Other <br /> .� APPROVAL ❑ PARTIAL APPROVAL <br /> p VIOLATION �-{ORR[CTION REQUIRED <br /> � <br /> ❑ Carreclions listed beiow MU57 BE MADE belore wark con be a0prm.eA. <br /> ❑ Work listed beiow has bcen inspected ond opprovcd. <br /> ❑ Pleate contotl insPector ond arranqe (or appolntment <br /> ❑ Wos not oble fo perform inspecfion. <br /> ❑ CALL 259-BB70 FOR REINSPECTION — 2/ haur natice reywred. <br /> A Certilicofe of ccuponry sholl be issuM and posied on ihe premises prior to aeu <br /> w.cr. <br /> � � Q <br /> � <br /> � <br /> _ � <br /> �n,pecro� � . <br /> Dat <br />