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�� <br />� ��� a� <br />Oeveretl I�lSPECiI�N REPORT <br />Adciress_� � _ <br />Conirotror _ � �� -L� �'� . <br />Own- — ��� _ <br />Ik+tc —p�(V"�{� � <br />TYPE 'COF� INSPECTION REQUESTED <br />�DG� Pmt. No �w� ❑ MECH: Pm1. Nr, <br />❑ ELEC: Pmt Nn _ ❑ PLOG: Pm�. No.. <br />[] H sinq [] Masonry ❑ Insulali±n <br />ppp���g [] F;oming [7 Grcundwarb. <br />� Foundation ❑ Drywoll Nuiliog ❑ Crnsulton�n <br />❑ Scwcr ❑ Rough-In ❑ Frwl <br />❑ Rreploce end Chlmney ❑ Scrvice ❑ O�her ____ <br />�APPROVAL O PARTIAL APPROVAL <br />❑ VIOLATION � CORRECTION REQUIRED <br />- - --- _-- -- _� --- __ �--_- _- - <br />�� Corrections listed Lclow MUST BE MADE before warF; can be apyrwed <br />❑`NorL, listed bclow hoz becn inspetted and approvud. <br />❑ Pleose comoct insvector ond arrange for oppointment � <br />[] N'os not able to perform inspeclion. ���J <br />❑ CALL 259�8870 FOR REINSPECTION — 24 hcur nohce rey ed� <br />h Cer1i1¢o1e uf Otcupanq� shall be is:ued and po:led on Ihe prrmises Drior to xeupanq. <br />/�:t9-�� u,-e _ - <br />