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1[�SPECTION REPOFP7' <br />Address�G�. _�f1'�""� ,��� �- <br />Cantwctor •/, — — — — — <br />// <br />Datc__' _ _ /O_ %`�-_! 1 <br />--_ — <br />.._-_—'___' . __ _ .. <br />TYP/E OF INSPCCTION REQUESTED <br />�[3L�G: Pml. N�._(O� ❑ MECH: Pn.:. Na_ <br />❑ ELEC: Pmt. No.—_ _ ❑ PLBG: Pmt No.__ —__ —. <br />❑ H=u>'�9 ❑ Mnsonry ❑ Insulotir.n <br />[] Footing Framing ❑ C�rcundw�:al. <br />❑ Feunda�icn ❑ Drywoll Nailing ❑ Consulir,lir:n <br />� i �cwcr ❑ Reugh-In ❑ Finol <br />[] Fireploec and Chimncy ❑ Smicc ❑ Olhcr_ _—_-- <br />'�APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ GORRECTION REQUIRED <br />� � Correeticns IisIM below MUST 6E MADE befcrc wcrk mn bc at:;:roved. <br />❑ Wnrk Iistid below hos bcen inspected and apProvid. <br />❑ Please ecntoct inspcctor and orranpe (or appoiniment <br />❑ Was aet obl� lo perform inrprenrn. <br />❑ CALL 257�8870 FCR REINSPECTION -- 24 h-ur neti-. �•:,;uiicd. <br />A Certificate of Occuponcy shail be issucd and Fested cn the F«'���-�s prinr to occuponcy. <br />-- /0- /S-_7�- -- <br />,, <br />- - - - -/ - <br />t __ <br />�nsP"c�c . -- "�'(--------oatc-EG�YJ- �.—.— <br />� � <br />�' �' <br />