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� <br />---- ----� <br />INSPECT�ON RE�ORT <br />Address—.L2' //'�� / / / ' ��� <br />�ontroClor �r � � ^�/� '�'� <br />Owncr"—�� '� / -' `� p'�O'�}— <br />W <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG�. Pmt. No.— <br />❑ ELEC: Pmt. No._ _. <br />❑ Hausinp <br />� Footinq <br />❑ Faundalion <br />[] Sewor <br />❑ Fireplac� C1� <br />[� M:CH: Pmc Nn.___ <br />�BG: Pm�. No.�� <br />[7 Mosnnry ❑ Insuloti��n <br />❑ Fmming I1 GrounAwork <br />[] Drywoll NaiGng ❑ Ccnsullatinn <br />❑ Rough-In �nal <br />CI $crvicc ❑ Olhcr_ <br />� �, APPROVAL J ❑ PARTIAL APPROVAL <br />p VIOLATION ❑ CORRECTION REQUIRED <br />'' �• ❑ Corrections lis�ed 6elow MUST BE MADE Lefnre wnrk can be opprwed. <br />-,�4��.. , � Work listed below has been intpected and apPrmcd. <br />i' ` ❑ Plsau contoct inspcUar and armnge lor appointmeN <br />� . •_i <br />_:�i.,�-:. � � Was not oblc to per(arm inspechon. <br />� ❑ ULL 259-8870 FOR REINSPECTION — 24 Mur nmice requiret <br />A Cerli(iwte ol Occuponcy shail be iswed ond posted on the premise5 pri6r to oceuy��ep <br />ATc�i i�oL� S��eov��0 A.[_c l� s � <br />InSVtttor__��'GCCt�'�1 __ _ <br />__ �,� 9�i�-8o <br />