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y <br />r ��� <br />e <br />� �� <br />�1�ISpECT10N REPORT <br />�«:.�_ <br />c.,��.a«o� . <br />o�.��e. <br />��� \ ,/L_ n /) <br />oa�e .F�/i/A7 <br />TYPE OF INSPECTION REQUESTED <br />❑ BLW� Pmt. No.---�— ❑ MECH: Pmt. <br />�.ECEC: Pm�. No.i.��� � CJ PLBG: Pmt. <br />� Hwsinp ❑ Maso^ry ❑ ��suloticm <br />� Foofinp ❑ Fmmin9 ❑ Groundwork <br />❑ Fwndofion ❑ Drywoll Nuilioq ❑ Con�ultation <br />� $ewer ❑ Rwph-In ❑ Firal <br />� Flnplx� ord Ghimney ❑ Service ❑ Other <br />p APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECT{ON REQUIRED <br />� fornclions Ilslcd below MUST BE M/�DE beforc work can ba aPo�a�•! <br />� Wu# li�t�d btlow has been inspected ard approvid. <br />❑ P�pr wntact inspetta ord nrrarqe fw ovPantmmt. <br />❑ Was rat able �o perform insp'c�ion. <br />❑ GLL 259-�8)0 fOR REINSPECTION — 2� hour notice requirtd. <br />A Grtifitoh of OttuponcY sho�l be issued ond posted on the premius y^M N K�+MK1• <br />� !D—� f4 �w� <br />�c�, __�� � �� <br />�� <br />