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1 <br />O���,�„ IIe15PEC7'10�1 REPORT <br />Addrezs � Q � ' <br />�'a -�. <br />Conimctor •�—:-r_i,t+ <br />Owner �� �� �� <br />D�tc — <br />TYi'E OF INSPECTION REQUESTED <br />❑ BLDG� Pmt. Na.� [] MECH: Pmt. Nn. <br />❑ ELEC: PmL No. , � PLBG: Pmt. No. <br />❑ Housin9 �] Mosonry ❑ Insulatirn <br />�Foo�ing ❑ Froming ❑ Groundwork <br />Foundotion ❑ Drywall Nuiling ❑ Cr.nsulfation <br />❑ Sewcr ❑ Rough-In ❑ F��al <br />❑ Fireplace ond Chlmney ❑ Service ❑ Other <br />�APPROVAL ❑ PARTIAL APPROVAL <br />VIOLATION � CORRECTION REQUIRED <br />❑ Corrections �isted bclow MUST BE MADE bcinre worL. mn be approved. <br />� Work listed below ha: bcen inspec�ed ond approvud. <br />� pleose conloct inspector and orranfle �or appointment. <br />❑ Wos not a61c to perform inspectian. <br />❑ CAIL 259-8870 FOR REINSPECTION — 24 hr.ur notice reqwred. <br />A Cerlifieote ot OccuVoncy sholl be izsued and posted on �he premises D/�or b xeupaneY� <br />