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everetl <br />e <br />❑ OLDG: Pmt. <br />,� ELEC: Pmt. <br />�NSPEC�ION REPORT <br />Addresz 3y��'i �r� ��, < <�� <br />/ <br />Ccntractcr �""�'����� � - <br />Owncr <br />Dalc_---- ____._ <br />TYPE OF INSPECTION REQUESTED <br />�] Fl=usiny <br />❑ Foating <br />❑ Foundoticn <br />❑ Sewer <br />❑ Fircn�acc and Chimney <br />APPROVAL <br />VIOLATION <br />❑ MECH: Pmt. <br />❑ PLBG: Pmt. <br />❑ Masonry ❑ Insuiolicn <br />❑ Fmming ❑ Grwndwork <br />❑ Drywcll Noiling ❑ Consultaticn <br />❑ Rough-In ❑ Finol <br />❑ Service ❑ Other— <br />❑ PARTIAL APPROVAL <br />❑ CORRCCTION REQUIRED <br />❑ Carrcctions listed below MUST DE Ml�DE befere work con be opproved. <br />� Work Iisted below hos bcen inspected and opproved. <br />❑ Please contact inspector and arronge for oppoinimrnt. <br />� Wos not able to Ver(orm in�pecticn. <br />❑ CALL 259-8670 FOR REINSFECTION — 24 hcur nntitc rcyuired. <br />A Certifieate of OccupancY sholl be issucd and pested on the premises prior to oeeuDaner• <br />- — yQ, �� �� -- <br />InsPet�cr .���.(�c C/��ei��----Datc_��� <br />•'��•(i <br />