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evcretl <br />� <br />IIV��E�'ilOt� REPO�T <br />Address_ � � " �j" ' -� <br />Cunlractnr � f ` � <br />�Oo <br />cw� - - <br />u,�,- �` — <br />TYPE OF INSPECTION REQUESTED <br />� p� � pmt. No. ❑ MECH: Pml. Nn. <br />LEC: Pmt. No ❑ PLBG: Pmt. No. <br />[] liausing �) Mosanry ❑ Insulatl:.n <br />� F����g (] fmming r! Gn�,undwork <br />❑ Fawda�ion ❑ Drvwall Nuilin9 l� Ccnsulwb,.r <br />�-j <ewcr � Rou9h�ln inal — <br />Othcr— - -- <br />[� Pireplace and ChlmneY ❑ Scrvite ❑ ____ _ _ __ -___ _ _ _ _. <br />- _- ____—.-- . .... <br />�APPROVAL [] PARTIAL APPROVl�L <br />�y, VIOLATION ❑ CORR[CTION REQUIRED <br />❑ Correc�ions listed bcluw MUST BE MADE be��.�re work wn be ap�raved. <br />� Wcrk IistcA bcl��w has bcen inspetted ond apprcv�d. <br />� Pleou eon�act ins0«tor ond armnge fcr appointmenl. <br />� Was nat ablc �o perform inspection. <br />[j CALL 259-BP70 FOR REINSPECTION -- 24 hnur not¢c rcquired. <br />A C�•rtifimle al OtCupan[Y shall be issved and VusteJ rn Ihe premi5es Priar to xeuponey. <br />w <br />— ' 2� � �h <br />Inspector���� _--'-__—"'. DateF!�_-_(�-��� <br />