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�;�-�-���I�ISPECiIO�V REPORT <br />� :vcreu <br />. � :,:. � ` . , .. <br />� <br />Address / '�i l' :�-. -��� / L - i- �i( � <br />ControCtor_ . �r/�= : :.���� / <br />TYPE OF INSPECTION REQUESTED <br />❑ OLDG: Pmt. No. '/ !� ` <br />❑ ELEC: Fmt. No. �L ❑ MECH: Pml. No. <br />❑ PLBG: Pmt. No. <br />❑ Housing ❑ Masonry ❑ Insulatian <br />❑ Footing (� Frominp ❑ Groundwork <br />❑ Foundalion ib`Drywnll Nailing ❑ Ccnsultoticn <br />❑ Sewcr � Rougli.In ❑ Finol <br />p Firepluce ond Chimncy ❑ Service � Other <br />�.APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />� ❑ Corrections listed below MUST 6E MADE before work ean be oppruved <br />❑\Nork listed below has been inspetted ond appmved. <br />❑ Plwse contoct inspecror ond arronge for oppointment. <br />❑ Was not oble to perlorm inspcchcn. <br />❑ CALL 259-8870 FOR REWSPECTIpN — 24 hcur notice required. <br />ACcrtifimen ni n.�,...,,..�.. .i._u i._ ._. .� <br />�� 6 <br />