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���,�„ INSPF�,�TION REPORT <br /> eAddress�� _ / ` / � �_� <br /> �� z <br /> 0 <br /> Controctor � <br /> ('� <br /> m <br /> Owncr — •• <br /> Daic ��Q �6 �� � .. <br /> --1 �'I <br /> TYPE OF INSPECTION REQUESTED �, _ <br /> m <br /> � gLpG: Pmt. No [] MECH: Pmt. No. O <br /> +d� ELEC: Pmt. No. ❑ PLBG: Pmt. No. m O <br /> �' Mas��nry ❑ Insulalion —1 C <br /> ❑ Housin9 � Fwming [� GroundworL. , � f3n <br /> ❑ Foolinp <br /> ❑ Foundalion ❑ Drywall Nailing ❑ Censultabon = � <br /> ❑ Sewer 0 Rough-In �Finol m M <br /> ❑ Fireplace ond Chimney ❑ Service ❑ Other C z <br /> �APPROVAL ❑ PARTIAL APPROVAL � _ <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED � T <br /> ❑ Corrections listed bdnw MUST BE MADE belnre wo�k can br oPP�rn'�d• � 3 <br /> U Work iisted below has becn insv«�ed and opProvcd. � m <br /> � Please contoct insnector and orronge for appoin�ment. _ <br /> m .. <br /> [] Was not oble to perform inspeclion. � <br /> 0 <br /> r� ULL 259-8870 POR REINSPECTION — 24 hour noticc required. � m <br /> C N <br /> 3 N <br /> A Certificale o� Occuponcy shall e iuucd and posted on the premises pn� �o=��P°^°Y• m <br /> � . z c� <br /> ,. /J � �r �. i �`_�� --I f i <br /> ..�� �9 �)�// a '_ <br /> �/�I{� ]rT/a!Y �C" � --1 <br /> A <br /> 2 <br /> a <br /> z <br /> � � <br /> x <br /> .. <br /> N <br /> z <br /> 0 <br /> -� <br /> c� <br /> . m <br /> Dat <br /> Inspector <br />