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. <br /> O<,�,�n IIv1�SPE g''►'!ON itEPO1tT <br /> Addrezs� ����"i� _ _ <br /> Conirottar_�lrC..Lf� � �� <br /> Owner�l.!_�S-/-!/fF��--�--�� <br /> •" H <br /> [kilr _" _____ _ .. <br /> ,--',�-_�.,__---.__- _—,-,...-___' — ""._._ __. <br /> TYPE OF INSPECTION R[QUESTED <br /> ❑ OLfXa� Pmt. No_ ��7 �] MECH: Vm1. Nn. <br /> L] FLCC: Pml. No._�J_LZ�/-S_ ❑ PIBG: Pmt. No <br /> [] H�+utinq [7 Masanry ❑ Insulotr�n <br /> � footin9 ❑ Fmminq (� G•oundworL. <br /> � fnund�uon ❑ Drywoll NaiGng ❑ Ccnsultation <br /> [� Sewcr ❑ Rouph�ln ❑ Finol <br /> [� Fircnla��r and Chimney Scrvicc ❑ Othcr___ __._-__ <br /> . _--- —_ �-_—__ ._ . <br /> �APPROVAL ❑ P�RTIAL APPROVAL <br /> ❑ VIOLATION p CORRECTION REQUIR[D <br /> ❑ Cr.rrections listed belaw MUST BE MAD[ bclarc' worl. ccn be�oi-prm�ed. � <br /> �] Wnrk listed below has bcen insoccicd and apnrwcd. <br /> �] Pleau rontoct i�spec�or and orronge for oppointment <br /> �J Wos not able lo perlorm inspcctian, <br /> � � C�.LL 259-88�0 FOR R[INSP@CTION - 24 hnur n=.tia� rc4.iirrJ <br /> .� Cera!�cate a� Occupancy :holl be Issu�d enA pozleJ ��� the premises prior Ic o<rupee�er. <br /> '��--`%^�t—' —� � <br /> -- �l` ��-��,���� �,� <br /> � �^.f� <br /> In��vrtor _ fYMlr_�A�Q—l�J ll . <br />