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1 <br /> evcretl I�iSPECT00N REPORT � <br /> e4� ► � �=,�"'— , <br /> n�a.�55 <br /> 'C�/�_U-►=---- <br /> coo�mctor�------ . <br /> � <br /> Owner I� p� ---- I <br /> . Dat• —_——�' —_�--� , . <br /> TYPE OF INSPECTION REQUESTED <br /> [] MECH: Pmt No. <br /> ' � BLDG: Pmt Nc.�--- __��,. Pmt. Na . <br /> [] ELEC: P�n�. No._------- � Insulalicn <br /> 0 Nmsonry <br /> � Huusing � Fmming ❑ Grnundwork <br /> � Foofin9 C prYwall Noilin9 ❑ Crns Irolicn <br /> [] Foundolion � {;augh-In mul � <br /> ❑ Sewcr Othcr�_- __ , <br /> � Fi�cploce ond Chimney � S`�^�1Ce .� <br /> -�fl APPROVAL ❑ PARTIF�L APPROVAL � <br /> � CORRECTION REQUIRED ; <br /> ❑ VIO-_LA=______._- � <br /> __-- <br /> � Corre[tions listad Lelow MUST 6E MADE bek�rc wnrk can be 000�ove . i <br /> �_�j \Vnrk listed below has been inspectcd o^d °p�Pn'�^' . . <br /> � Pleose contact msPector and arrange (or app . ... . <br /> � Wos not a61c tu perform in<pecticn. . <br /> � �qLL 259-887� POF I'iEIPJSPECTION — 2A hcur noficc required. <br /> rior to accupancy. �C. <br /> A Certifica�e of Occu[�a�'cY sholl be i,sucd and posted crv the premises p . . . .. . <br /> —S�'�i�i�'.iE'/=�—��— " � _____ 1 . �� � �; <br /> . <br /> -- ------ � �-��_ _ _ ��3,��---- , <br /> -______- . <br /> _- --- - - -- - - _____- <br /> � <br /> --- ---- --- *. <br /> ----� <br /> --- , <br /> ---- -------- : <br /> -- - <br /> ____-- <br /> _ _--- � <br /> _ ---- ----- <br /> ---- <br /> -- <br /> ---___ <br /> - -------- � �- <br /> ---- - <br /> _ <br /> ----- <br /> -- <br /> -- --- <br /> --- ���_� <br /> ----- '-_ -= � - - ' <br /> �����/yl� Datc__ _ <br /> Inspector_ -- ��/� <br /> t:�h•n � � � � . � � . ��. <br /> � � <br /> � <br />