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evcretl <br />e <br />INSPECTION RERORT <br />Addrcss__� � (_�Z��.1l-2� 2J7rt-G� _ <br />ContraClof <br />Owncr t<i<-��` <br />Da�r _—'L v '�� _ <br />TYPE OF INSP[CTION REQUESTED <br />❑ ULDG� Pml. No._ � p MECH: Pmt. No. <br />(�fI.EC Pmt. No. '� /' �� . ❑ PLBG: PmL No <br />❑ Hcusing ?'�3��j Mosonry ❑ InsuloHen <br />❑ Poating ❑ Roming ❑ Groundwork <br />❑ Foundo(inn ❑ Drywoll Noiling ❑ Cen;ultoticn <br />j] Sewer ❑ Faugh-�n � Finol <br />❑ Fircplacc and Chimncy ❑ Scrvicc [] Othcr _—.__ <br />�APPROVA� ❑ PARTIAL APPROVAL <br />❑ VIOLA710N ❑ CORRECTION REQUIRED <br />❑ Correttiens lisled bclow MUST �E MADE be(ore wnrk ton be opProved. <br />❑ Work listed below hos bcen inspecled ond opproved. <br />❑ Plwsc [ontaU inspmtor and orrongc tor oFpointment. <br />❑ Wos nn1 able to perfarm inspection. <br />❑ CALL 259-8870 FOR REINSPECTION — 24 h-ur noticc requirecf. <br />A Certifimte O( OCCUpOpq• SI10II V2 ISSUCd and po;�ed on the premises prior ta oceuponey, <br />� �_�����.,: e�_�-�_- <br />- ----- — <br />—� --_-.lb -- ��_��-- <br />_ ���. �_�� <br />-- - -- ----- <br />---- - ---- . <br />Insnettor__�'_�i� �-.��__ ___�__'__ — Dam__/�_��_ <br />�'� <br />