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� <br /> everetl INSPECTIO�I REPOR�' <br /> . 0 -_ - , <br /> Address_ / �: �''��.-: i: v:"->"� <br /> ConhaCfor <br /> � „ �� -����� <br /> / <br /> Owner <br /> o��� G����-�7 <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG:�('mt. No. ❑ MECH: Pm�. No. <br /> (t�.�£CEC' Pmt. Nd���� [] PLBG: Pmt. No. <br /> ❑ Housinp [] Mosonry [] Inzulotion <br /> ❑ Foofing [] Frnming ❑ Groundworb. <br /> ❑ Foundutian � Drywall Nailing ❑ Censultaben <br /> �'] ;ewcr � Rough-In B-� <br /> [] FirepL;ce and Chimney ❑ Servicn [] Olher____ .___ <br /> !�APPROVAL ❑ PARTIAL APPROVAL <br /> If7�VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ C�:��e_tions listed below MUST BE MADE befcre w--r:. ccn Le approved. <br /> ❑ Wcrk listed below has been inspecicd ond oppro��J. <br /> ❑ Flcax eontoet inspcetor and arronge for oppointment <br /> ❑ Was not oblc ta perform inspection. <br /> ❑ ULl 259-8870 FOR REINSPECTION — 24 hcur m�iin• r��.�:mrd. <br /> A Crrihcate of Oetupancy sho�i be issued ond pcsled on Ihe premises priur fo ocu:paney. <br /> _ � 5 � ' - ��.���I �r�.. � <br /> � <br /> �nsvc<�or-- ---- — _.Datc--- � — <br />