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evereM <br />e <br />INSPECTION REPORT <br />� �-/C ` <br />Address �--` Y ^ % _ j (�.��jz-c_ <br />Conimcmt �'�o�il'Le.-� <br />/ �� � 1 (//� / ,( <br />Owner / f I�C.C���CV :� ��.'�rtG+/?.'J K' L� <br />Dote 'i���7..j���J <br />TYPE OF INSPECTION REQUESTED <br />�❑ �B�LDG; Pmt. No. ❑ MECH: Pmt. <br />tf't�tC: Pmt. No._ ❑ PLBC Pm�. <br />❑ Housin9 ❑ Masonry ❑ Insulation <br />� F�^���fl ❑ Froming [] Groundwork <br />❑ Foundo�ion � Drywall NoiLng ❑ Crnsullobon <br />❑ Sewer ❑ Rouph�ln p�o� <br />❑ Fireplace ard Chimney ❑ Scrvice ❑ :1lher <br />❑ APPROVAL � PARTIAL APPROVAL <br />❑ VIOLATION CORRECTION REQUIRED <br />G Corrections listcd below MUST BE MADE belorc work con be opvrwed. <br />❑ Wark listed below hos been inspecled and opprovcd. <br />❑ Pieose contoct inspcctor ond orronge for oppoinfinenf. <br />❑ Was not able to perbrm inspection, <br />❑ ULL 259-8870 FOR REINSPKTION — 2q hour nobcc requirM. <br />I, Certificale of Occuponcy sholl be issuN ond pozted on the premises prior b xeuponey. <br />�9 r <br />,��`> � _.Dotc L/ � �'�"����� <br />, i <br />