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, <br />. evcretl <br />e <br />INSPECTION REPO(tT <br />,- <br />,� � � ; . <br />Address - ' � � -� /'� .' � C �" <br />�ontroCtOr � � �� /G.. r r��' �. <br />Owner / �� /�1� � �� �� � l /1 �(7 7 c: i% <br />Dal� � __ "'`_L <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: P�nt. No. ❑ MECH: Pmt. No. <br />`{�j ELEC: Pmt. No. ���� -% '�� '_ � PL86: Pmf. No. <br />❑ Housing ❑ Masenry � Insulation <br />❑ Footing � Fmming ❑ Grcundworl.. <br />❑ Foundoficn ❑ Drywall Noiling ❑ Ccnsultotion <br />❑ Sewcr ❑ Rough-In � Final� /�,� <br />❑ Firc0lacc ond Chimncy 'jr] Scrvicc ❑ Othcr � <br />�I' APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />�p Corrections lizted below MUST BE Ml�DE before work con be approved. <br />❑ W�rl: listed bclow hos bcen inspccted and epproved. <br />❑ Pleasu contact inspector and arranpe for oppointment. <br />❑ Was not oblc to perform inspeclicn, <br />❑ Cl�LL 259-8870 FOR R[INSPECTION — 24 hour no�icc rc�uired. <br />n Certificote oF Otcupancy sholl 6= issucA and posted on the premises prior lo oeeuponey, <br />- `'-�-- ------ �-C� -_ �F � �-�'-- <br />--- ---- <br />--- --- <br />----- - - - <br />���� �- <br />- ' -- <br />�u��l`z-C <br />-- �� -- -- _- �, - - -- - - -_- <br />In;iicclat__�.r�I{..L-�,=—/'�__ �LA�'1__..Date__7_��___1�_ <br />