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fVflfl� <br />� <br />It�SPECT1�t�1 REP0�1` <br />� 1 f <br />Ad,�rc:t—�� -�/L� rf�t / / . <br />� <br />� � <br />Ccntroc�ar /J /f / d � <br />�wnerQlL'jj/_/�• tLfA.�' Z— - <br />u��.•---J�-r Z' --�� _ <br />-= = _-- •-- ----- <br />TYPE OF INSPECTION REQUESTED <br />❑ pL[�'r� PmL No'�� jl MECH: Pmt. Nn <br />f�EtEC: Pm�. No ❑ PLBG' Pmt Na.___--_-- <br />[] Hominq �7 Masnnry �J Insulo�rn <br />(] Foobny L] Fmming [�� Grvun;iw:,rl <br />❑ Faundaticn Il Drywoll NaJm9 L1 C n��uRan i� <br />f 1 Se�cr [] R<;ugh-In ❑ Fu�al <br />[-j Fireplcre anA Chimncy lJ Srrv¢c �] 011�cr_ .. ._.— _ <br />_ _ <br />- . _.___ --_ __-_-.__'-______—'_— -_- __ . _ . _. <br />�PPROVAL �] PARTIAL AFPROVAL <br />�_7 VIOLATION �] CORR[CTIO'J R[QUIRED <br />_ _ _ _ _ _ -- - - - `_ -' --- <br />❑ Carrettions Iricd bclow MUST 6E MADE Lcl:��c w.n� can bu ap,.roveA <br />(] Work Gsted bclnw has bcen impeUcd ond opnro�iJ. <br />❑ Plcuu eontatt miV«��r and arronge (or oppointmrnt <br />❑ Wos not aLlc tu per(o m inepeebcn <br />f7 C/�LL 259-88l0 FOR REWSPECiION — 24 h^ur nobu� �. : ined <br />n Certiheotc of OeeuVanq shall bc awed and p..�slcJ on Ihc nranwra prior fa oceupancY. <br />L�G.�+�— _ _ � — ' ' _ � _ <br />C�E-.�is[�t�-� � <br />InSpC(I��� �//��Ci��'�� �..,r_/ D /� � �V <br />� <br />