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i <br />; �+ INS�ECTION ,REPORT <br />� . <br />, <br />Address �,(� (�zqti J,�•i+�— <br />Conlraclor <br />Owner . _ <br />Dale `1-1�✓� <br />❑ APPROVAL ' t� PARTIAL APPROVAL <br />p VIOLATION r� CORRECTION REQUESTED <br />O Cottecllon� flsled below MUST 9E MADE belwe wak can be approved. <br />O Please conlacl Inspeclor end arrange (or appolnlmenl. <br />O Wea nol eble lo perlorm Inspecllon. <br />O CALL 259•6610 FOA REINSPECTION — 24 hour nollce �equired <br />A CERTIFICATE OF OCCUPANCY SHALL 0[ ISSUED AND POST[D <br />ON THE PREMISES PAIOA TO OCCUPANCY. ' <br />i '. . <br />NO 11ECORD OF IIEQUEST FOR INSPECTION WITIIIN LTST <br />180 D11YS. FILCs fIAS 6EEN SGNT TO ItECOI1D5 FOR <br />MICROFILMING. <br />Inspeclor Dale <br />TYPE OFINSPECTION REOUESTED <br />p Temp. Elecl. ❑ Freming u Gns Piping <br />7 Fooling O Drywell, Na�ll�g p Consullalian <br />O Foundallon ❑ Shear Nelling O GrounJwork <br />O Duciwork p Orld O Slrucl. Siab <br />O W�d Slove ❑ flough•In O �Innl <br />O Masonry O Servlce p Insulalion <br />U Olher <br />❑ BLDG: Pml. No. C7 MECH: Pmt. No. <br />❑ EIEC: Pmt. No. D3 p PL�G: Pml. No. <br />