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'1 <br /> 1 <br /> , '1 <br /> � "1 <br /> �•e INSPEGTION REPpRT <br /> 0 � yy <br /> Address�/Q� �� <br /> .�--_y <br /> Coq�roctor �/ �' 1j <br /> Owncr_.J/C� / '�_�� � <br /> Datc <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLD('i: Pmt. N¢'_ <br /> ❑ ELEC: Pmt Na.Z.L J�� ❑ MECH: Pmr. Nn <br /> ❑ Housinq --_�—�- � PLBG: Pml. No.— <br /> ❑ F��inq [) A1asonry �] Insulation . <br /> ❑ FourMation ❑ Fmming <br /> ❑ Sewcr n �n'�'a1� Nuiling n Gri,undwork <br /> ❑ Rouph-In �� Crnsvllolio� <br /> Q Flreo�ace and Chimncy O F��ul <br /> —��__--� ❑ Servicc � Other <br /> APPROVAL p PARTIAL APPROVAL <br /> ❑ VIOiATION ❑ CORRECTION REQUIRED <br /> ❑ Coneclions IistM bclow MUST UE MqDE bclo�c work con b� a � <br /> ❑ Wcrk listed below hos becn inspecled nnd a PP�O�'�� <br /> ❑ Plea3! cMtoct insPeclor a PProvrd. <br /> � Woi nol ^d arronge (or appulntmmt. <br /> ablc lo xr(orm inspeclion. <br /> ❑ CALL 259.BB70 FOR REINSPECTION — 21 hnur noiice requireJ. <br /> � �`�'�'mte of Occupency sholl be issued ond <br /> �— posfN o� 1hc premi:cs prior b oeeup��., <br /> m Cy S� U C c�� <br /> _—�--_ <br /> �7`! c� <br /> . <br /> �nweer ��� C��laV� <br /> ��� S-� _.I <br /> • _.� <br /> � <br />