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� � <br />everetl <br />�'� <br />INSPECTION REPORT <br />Address <br />C�� � � � �-T--�.�� <br />COntractor�� � �,! �/ <br />� <br />Ownu• <br />Date� / �/��% <br />TYPE OF INSPECTION REQUESTED <br />� <br />BLDG: Pmt. No.�_ � MECH: Pmt No.._ <br />❑ ELEC: Pmt, No. ❑ PLBG: Pmt. No.__ <br />❑ Housing ❑ Mosonry ❑ Insulotion <br />❑ r�O���9 ❑ froming I] Graundwork <br />❑ Foundotion � Drywoll Nailing � Ccn,ultotion <br />❑ Sewcr ❑ Rough-In Finol <br />—p Fireploce and Chimney ❑ Service Other <br />•s'� APPROVAL p Pl�RTIAL APPROVAL <br />❑ VIOLATION jJ CORRECTION REQUIRED <br />� Correctiens listed below MUST 6"t MADE befere work con be opprwed, <br />� Work listed bclow has been inspected ond opproved. <br />❑ Please centa[t inspettur ond orrange for oppointment. <br />❑ Was not oble to perform inspeclicn. <br />❑ Cl�LL 259-8870 FOR REINSPECTION — 24 hour notice rcauired, <br />A Certificote of cuponcy shall be issued ond posted on the premises priar to xeuponey, <br />��(f� /J, /7z. <br />Inspecfor ��' �---�t-�� � <br />�— �-_ —Dote_Sy/ <br />��6 � <br />