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evcrcfl <br />� <br />INSPECTIC�N REPORT <br />Address ��� � /�_U <br />Controctor_ , __ .�,r{� <br />Owner Q � !' l.R. � .`� j( <br />Date _ <br />TYPE OF INSPECTION REQUESTED <br />/��` � <br />BLD6: PmL Na �2� ❑ MECH: Pmt. No.__ <br />❑ CLEC: Fml. No. ❑ PLBG: Fmt. No. _ <br />❑ li�using � Mo�nry ❑ Insulation <br />�l F^^��^0 ��ming [] Greundwerk <br />❑ Foundotion �wall Nailing ❑ Ccnsultation <br />❑ Scwcr ❑ Rough-In ❑ Final <br />❑ Fireploce and Chimney ❑ Service ❑ Other <br />� APPROVAL ❑ PARIIAL APPROVAL <br />❑ VIOLATION ❑ CORR[CTION REQUIRED <br />❑ Corrections listed below h1UST DE Ml�DE before werk con be appreved. <br />❑ Work lisled bclow has been inspected ond a�proved. <br />❑ Pleose contoct inzpector and orrange fnr oppointment. <br />❑ Wos not oblc to perform inspccticn. <br />� CALL 259-8870 FOR REINSPECTION — 24 hcur nolicc requircd. <br />A Certi(itate of Octuponty sholl bc issued ond posted on the premises prior to aeeupaneY• <br />.--_Datc,v _ �J� � <br />� __ _— <br />