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���,�„ INSPECTION REPA�T <br /> � /�ddres ( � . <br /> Confroctor � <br /> Owner�\ 1 / <br /> Date <br /> v �//�/��� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No. <br /> ❑ ELEC: Pmt. No. [�PCDG: Pmt. No.�— <br /> � Housing ❑ Mosonry ❑ Insulation <br /> � Footing ❑ Froming <br /> ❑ Foundation ❑ Groundwork <br /> ❑ Sewer � ��a11 Nailing ❑ Crnsulrofion <br /> ❑ Rough-In [�Finol <br /> ❑ Fireploce and Chimney � Service ❑ Other <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> O VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE befare wark can be aOPrwed. <br /> O Wo�k lisfed below has been inspected and opproved. <br /> ❑ Please contact in;Pecror ond arrange (or appaintment. <br /> [] �Nas not oble to perform inspection. <br /> ❑ CALL 259-8870 FOP. REINSPECTION — 2q hcur notice required. <br /> A Certi(ieate of Occuponcy sholl be issucd and posted on 1he premises prior Po xeuponcy, <br /> �(O �� <br /> � �-:�+�tr�,. iL' [�.l u�ii_LrrU c>n/ c�o� <br /> l <br /> Inapector � -��Y'(L'Yt Dote �'`lJ ' � <br /> � <br />