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cverctl <br />� <br />r] �LDG: Pmt. <br />❑ ELEC: Pmt. <br />INSPECTION REPOR�' <br />Address � 2.rt�J �. <br />ControCtor �. �� <br />Datc /_�{i��'��� <br />TYPE OF INSPECTION REQUESTED <br />❑ MECH: Pmt Nn—p�-�-- <br />�PL�G: Pmt No._.CS..,T L__ <br />❑ Hwsinq [] Mosonry [] Insula,.. n <br />❑ Fwtin9 [] Fromin9 �� Groundw.��: <br />� Fcundaticn ❑ Drywoll Nuihng ❑ Crn,uhoi: �� <br />❑ Sewer ❑ Raugh�ln �Finol <br />❑ Firepioce ond ChimneY ❑ Scrvice [] Oth�'—._ . . . ._ _____ <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLAI � CC•^.RECTIO N REQUIRED <br />❑ CorreUions listed bclow MUST GE MADE befnrc wark mn l�� oi�;�r,rv.�i <br />❑ Work listed below has been inzpected ond opprovcd. <br />❑ Pleose contact insPeUor and armnge for appoinlment. <br />❑ Was not oble to perlorm inspceticn. <br />❑ CALL 259�BA10 FOR REWSPECTION -� 24 hnur notitc r;.,;�;,,,,i. <br />/� Cerli(ica�e of O:tup�ocy shall be i:�ued ond pested en Ihe premi:es �.rior to occuponcy, <br />_ t� f��S� P�e!_E <br />�/ / � w�TH l��e/r9L o�e.Eturcnl5 <br />�.�� - , - ; — <br />�� <br />Inspectar �. l- �K f� .. �'� _' � . n�' � _ . L1�L: � ' 1� � <br />.�_' __'_ ' <br />� <br />