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INSP�CTION REPORT � <br />Address 5 �oZ1 /_.�;�Ia [,/_� <br />Contractor <br />Owner <br />Date �=(�Q,� ______ <br />❑APPROVAL ❑ PARTIALAPPROVAL <br />U VIOLATION ❑ CORRECTION REQUESTED <br />O Corrections listed below MUST BE MADE betore work can be approved. <br />O Please coniact inspeclor and arrange for appointmenL <br />❑ Was not ablo to periorm inspection. <br />� CA�� (�0250 25�•881 O FOR REIHSPECTION — 24 hour notice required <br />A CERTIFICATE Ur OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />THERE HAS BEEN NO REOCRD OF ki.QUEST FOR INSPECTION WSTHII�. <br />THE LAST 180 DAYS. THE PILE IS SEING SENT ':O CENTRAL <br />_ RECORDS FOR MIC:ROFILMING, <br />Inspector Date <br />TYPE OF INSPECTION RE�UESTED <br />❑ Temp. Elecl. ❑ Framing O Gas Piping <br />❑ fooliny ❑ Drywall, Nailing ❑ Consultation <br />❑ Foundalion O Shear Nailing ❑ Groimriwnrk <br />O Duclwork ❑ Grid <br />❑ Wood Slave ❑ Rough-fn <br />❑ Masonry O Servfce <br />❑ Olher <br />0 <br />0 <br />O Strucl. Slab <br />❑ Final <br />❑ Insulalion <br />OMECH: ��C��(J�� <br />❑ PLBG: <br />