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� , J <br />. ,•'�',��4��� ' , <br />evcretl '�Z���TION �EPORT <br />� :t O ' � �, . ,��T���� <br />Address <br />Coniroctor � � � � /n <br />�t.I i Li i-L( /�'/ �LL- <br />Owner� <br />.. Dote --- - <br />TYPE OF INSPECTION REQUESTED <br />p BLDG' Fmt Na. ❑ MECH: ?mt No. — <br />�ELEC: Pmt. No. _�'-- ❑ PL86: Pc�t No._ <br />❑ Mosonry ❑ Insulaticn <br />� Hausing n Groundwork <br />footin9 ❑ Pmming <br />� � Drywall Nailing ❑ C�n>ultoGcn � <br />� Foundation <br />[-j Sewcr ❑ Rou9h-In ❑ final � �'..�} �i <br />Scrvice ❑ Othcr�=..=• <br />� Fi�eplotr ond Chimncy ❑ _ __— - <br />� APPROVAL ❑ PAR7IAL APPROVALf� `� <br />❑� VIOLATION ❑ CORRECTION REQUIRED_ __ <br />----- - <br />� �orrcclicns lisled bclow MUST BE Ml�DE before work can bc approved. <br />� Work listed below has been inspccted e^d °oPntm nt. <br />� Please contact inspttror ond arronge f�r app <br />U Was not able to perform ��'Pecl�cn. <br />❑ CALL 259-D870 FOR REWSPECTION — 24 Fcur notice renuimd. <br />A CeAificate of OcwpancY shall ba i;zued ond posfed rn the premises prior to o<cuDoney. <br />-7 `-� --_ __ _'.__.— _ . _- _ __.. <br />_ . _ —__ _— . ' _ . <br />/2,J /�/ 1 <br />._ -��/_ _._._-� L �LC1�_—.—__..Datc-ii,__'f��- <br />ir.:Lcc�cr_' _-SC��.C%�- <br />Q <br />