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evereH <br />� <br />I�S�ECiIp1y REpORT <br />/�ddress '� % �7' � � � <br />���.'t:_..�� <br />�-, <br />Cantroctor �'�� ��� � C- :<' _.. . � �. � <br />Owner �� ' � � ���_ �� <br />�. • <br />D,�ic i�t / �� � 7 `% <br />TYPE OF INSPECTION REQUESTED <br />;7 BLDG� Fmt. No._ <br />f.i ELEQ Pmt Nn. ____,_ <br />❑ MECH: Pmr. No, <br />-T—: _ - <br />Ia-F'CUG: PmL No _� <br />(] Housiny [] Mas�nry [� Insulai� n �� <br />❑ Foolinq [] Froming '• GrcunJ�.. '. <br />❑ Foundotion ❑ Drywall Nudin •.. <br />[' Sewcr 9 [] Crnsult,;�. � <br />❑ Rou9h-In �ol <br />� ' Fireploce ond Chimney ❑ Scrvice <br />_ -__ ❑ Other_. <br />�APPROVAL � PARTIAL APPROVAL <br />VIOLATION ❑ C012RECTION REQUIl+ <br />❑ CarrcUions IIstN bclnw MUST BE A1ADE b��(�•.�� M <br />❑ Work listed below hos been inspected ond oppro��. <br />❑ Pleasc mnloct msncctor ond orranqe for oppomtm.,�� <br />❑ Woi not ablc to perlorm insVetben <br />f.l ULL 259�8870 FOR REINSPECTION -- 2a hcu, ,� . <br />� ����.hcote of Occoponei shoil be issued and posied en ihe p,,.�:.., ,, ��,.;:, , , <br />iq.,� ry <br />r� <br />�,�,,,<.,., __ �_____ _ _ __ <br />