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CVPfCII <br />� <br />�LDG: Pmt. <br />/ :' <br />[ , L[C Pml, <br />INSPECTION REPC��T <br />Adc�ress._—'��'y�� __`--�—��_� <br />C�nl roc ror___��i������� <br />Owncr_ <br />D�te_ _' �l \I l �._- <br />T,Y9E OF� I�\SPECTION REQUESTED <br />No. ����_ __1__ <br />❑ MECH: Fmt No._ <br />Jo. ❑ PLBG: Pmt, No.�� <br />�i Hcusinp ❑ M�sonry [] InsuloGon <br />❑ Foolinp � Fwminp <br />❑ Foundotion ❑ Groundwod; <br />�Dr�woll No;ling [] Ce�;ultotio� <br />! 1 Scwer ❑ Rough-In ❑ Final <br />❑ fireplote ond Chimney [] Scrvicc <br />._ __- ___ ❑ Other <br />APPROVAL �] PARTIAL APPROVAL --_ <br />❑ VIOLATION ,] CORRECTION REQUIRED <br />❑ Conec�inns listed belcw MUST BE MADE befnre work con be opp�aved. <br />j 7 Work tis�M beicw hos bcen Inspccicd ond approved. <br />�] Please contacl inspettar anJ orranpe fur appointment. <br />❑ Was not oble �a xrForm i��p��ry�� <br />�� CALL 259�BB70 FOR kERJSPEC7lOY -- 24 hcur notice requirM. <br />A Cerlifieale o( OceunancY =holl be nsued r.�oi p,�,steJ ��n the p.emises prior 10 oreupanq. <br />. . _� ' _ _. _ � _— _"—_ __—___. . <br />'— __ <br />- - lL/CY,� _ _� <br />�� <br />__ - --�-�i�� j�� <br />--�_- <br />, r <br />,�.,.��, , �_�_���:��1 <br />/ <br />Date����rL/' __ <br />� <br />� <br />�. <br />