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� /.✓: � U <br />II�SPECTION RERORT <br />.c <br />Addresc �� —��%� ,��� � ., { 1 <br />/) �. <br />Contmcror ` /�7+ • M �� <br />Owner�.G-'�'.` (��•m-� Cr--� <br />Date <br />7� �� /! (�r <br />TYPE OF INSPECTION REQUESTED <br />(]-BLDG: Pmt No._ �� ��� ❑ MECH: Pmt No._ <br />❑ ELEC: Pmt No._ � PLBG: Pmt. No._ <br />❑ Hausinp [7 Mosonry � Insulati:n <br />� Footinq ❑ Froming � GroundworL <br />�oundotion ❑ Drywoll Noiling ❑ Censulta��on <br />❑ Sewer ❑ Rouph-In � Finol <br />❑ Fireplace and Chimney ❑$ervice � Other <br />`�z� APPROVAL ❑ PARTIAL APPROVAL <br />: ❑ VIOLATION ❑ CORRECTION REQUIRED <br />� Corrections listed below MUST BE MADE beforc work tan be ap0�a'�d. <br />❑ Work Iisted below hoz becn inzpected ond opprovcd. <br />❑ Pleose contoct insvecror and a�range !or aDPointmmt. <br />❑ Was naf able ro perfarm inspection. <br />❑ GLL 259�8870 FOR REINSPECTION — 24 haur notice reqwred. <br />A Certilicote of Occupancy sholl be issued and pozted on �he premites prior to xcuponcy. <br />�- <br />__ I.,-, •-, �i (' t. ,, «.,, <br />