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c,.o �,c� <br /> INSPECTION RE,PORT p <br /> ���.erc .3v ��e..�..�.�� <br /> eAddress— �L/��--7�'�� <br /> ��.J i 1A .��.-. 7 tt.� <br /> �.� <br /> Contraclor <br /> Owncr <br /> oa« /d//,I"/d� <br /> TYPE OF INSPECTION REQUESTED <br /> �LfX' Pmt. No. �� ❑ MECH: Pmt. No. <br /> � ELEC: Pmt No. ❑ PLUG: Pmt. Nu. <br /> � Ho 'np (7 Mosonry ❑ Inwlation <br /> [] Framinq [� Groundwor6. <br /> oolin9 Ccnsulm�wn <br /> � Foundation [] Drywall Nuiling ❑ <br /> � Rough�ln � Final <br /> [] Sewcr Othcr�—� <br /> � firePlace and ChimneY ❑ $ervice ❑ '_ <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLA��ON ❑ CORRECTION REQUIRED <br /> ❑ Corre<tions lisled bclow MUST BE MADE bc�orc wod con ba aPP�a'�� <br /> [] Work lisled bclow has bcen inspe<ted ond apProvcd. <br /> � Pleose [ontact inspc<tor and armnte lo� appomimeN. <br /> � Was not ablc lo perlorm inymclicn. <br /> p Ch�L 259-BB70 FOR REINSPECTION -- 24 hr,ur noticc requirnl. <br /> p Certifi�e ot OccupancY shall be issued and posted on Ihe premises D��or lu xeupa�'• <br /> � ^� /C7 �i/ <br /> i <br /> n r <br /> / <br /> / <br /> Dat /� 'r� <br /> InspK <br />