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� ���,�„ II'�ISPECTION REPORT <br /> ' -. � Address ����� o ���'�"Cl'��i i <br /> co�o-ac�o, <br /> �� 'F �h� <br /> Owner ���- j L/i.r�</( � �._ <br /> Dote <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No. ❑ MECH: Pmt. Nn. <br /> q� ELEC: Pml. Na. ' �_ � ❑ 7L8G: PmL No. <br /> � Housinq ❑ Masonry ❑ Insulotion <br /> ❑ Foo�inp ❑ Frcrning ❑ Sroundwork <br /> ❑ Foundation ❑ Orywoll Nailmg ❑ Cr,nsuhotion <br /> ❑ Sewcr ❑ Rcuph�ln ❑ Final /j/` <br /> ❑ Fireplace and Chimney ❑ Sur�itc ❑ Othec � —.— <br /> f�' APPROVAL ❑ PARTIAL APPROVAL <br /> "�i VIOIAIION ❑ CORRECTION REQUIRED <br /> - ❑ Conections listed bclow MUST BE MADE before worl, can be opproved <br /> , ❑ Wo:k lis�ed below has been inspecled ond apprwcd. <br /> � Plecu mntacf inspettot and nrmnge for appoinlment. <br /> � � Was no' able �o perform inspecfion. <br /> ❑ CALI. ?59-8870 FOR REINSPECTION — 24 hwr nolitc required. <br /> A Certificole of Oe<upanty shall be issved and posled on the F�en�ises orior to xevponey. <br /> __� - '_ <br /> T�- -� � <br /> Impettor .�/ .. . '�.� —Date ' _ . � �'. � <br />