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���,e„ INSP�C7'ION REPORT <br /> eAddress ��OZ�P C�%�•OPi �7 <br /> Contratror �pN� `5 ���Zp�T <br /> T z <br /> �Tic-fae.�s'<i' /C'7�lFf.,t _ o <br /> OK ner � <br /> �Lo�81 " <br /> potc m <br /> ��. <br /> TYPE OF INSPECTION REQUESTED � � <br /> �pG: Pmt. No. 9Z7� !�' MECH: Pmt. No. � � <br /> � PLBG: Pmt. Na. N = <br /> � ELEC: Pm1. No. m <br /> � Hcusinq [� Mosonry <br /> ❑ Insulotion c o <br /> (y�Frrolin0 <br /> � Froming [� GroundworV. m n <br /> [] Foundaticn ❑ UM�'all Nolling ❑ Ccnsultahon o 3 <br /> ❑ Sewcr ❑ Rough-In ❑ Finoi � _ <br /> � Firep�a�e and Chimney ❑ Scrvice ❑ Other _ _ _ � <br /> m <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL ,o z <br /> ❑ VIOLATION �.CORRECTION REQUIRED <br /> � _ <br /> ---- <br /> -- .� .� <br /> 3-0 Cortections listed Lclow MUST BE MADE bcforo wurk mn be opproved. —1tn <br /> < <br /> � Work listed below has becn ins�ecled end opProvcd. � � <br /> � Please contact inspector and arranqe for appointment. -q a <br /> � Was nol a�lc to perform ��sPedion. —1 m <br /> ❑ CALL 259-8870 FOR REINSPECTION — 24 hour notitc required. x <br /> mN <br /> A Cer�ifiCa�e ol OcwOon[y shall be �ssued and onzted on the premises prior fo xeupaneY• O r <br /> � m <br /> c tn <br /> m� <br /> � _� <br /> • m <br /> � � a <br /> z <br /> � <br /> x <br /> a <br /> — _ � Z <br /> _ - � t� -i <br /> � � <br /> �� . r N <br /> �_ Z <br /> O <br /> � <br /> �--i <br /> n <br /> - m <br /> Dat <br /> ImDKtor � <br /> \'������� � <br />