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�r <br />a <br />c�-' <br />�rvrrcti !P'lSPEGYIO� REPOR7` <br />3a � �.-- � <br />� AAdress_._ �/ —. <br />/'� ��A <br />Q�nlrectar ( 1 <br />�,.,��._ �i/�v� <br />TYPE OF INSPECTION REQUEST[D <br />I�KC�X- Pmt. No. ��� �O ❑ MECH: Pmt. Nn. <br />�_j ELEC: Pmt. Nn_ ❑ PIBG: Pmt. No <br />j-.] Housinp j7 Mosnnry ❑ Insulali' n <br />j7 F ting I7 Frumin9 C1 G�cun;iwnr6 <br />Foundalion j� Urywoll NaiLnp j] C,�n.ullobon <br />I) Scwcr Q Rougb-In [j Final <br />❑ Fireploc� and Chimncy (] Servae ❑ Oihcr___ __ _ <br />_ — ' ,:___—_—' _. �— ._- --_—''_ - _. _- . _ _ _ _ _ —' <br />�sAPPROVAL ;j PARTIAL APPROVAL <br />(; VIOLAiION [] CORRECTION REQUIRE[� <br />❑ Conecliens listed bclnw MUST f3E MADE before warL <an Le ap;,r.ned <br />❑ Werk 6ited beluw has been insPecled and appravcd. <br />[j Please contoct Insveclor ond ormnge (or oppointment <br />�] li'as not able lo perlorm m+pe<t�cn <br />� I C.�LL 259-8870 FOR REINSPECT�ON �:4 h�,ur nnb:c rcymrcd <br />n Certifieotc ol Oecupanq ;hall bc nsucA anJ p..,�.J �.�n thc pmm�scs orior fo xeuoan.. <br />=z <br />