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��� �NSPECTIOIV RE�ORT <br />� Hddress Qf — <br />--a--� � _ �./ <br />Contrp��of Q'- _ . L / <br />/� n <br />Si�L_ <br />Owner // <br />� �6 ���__ <br />_ �,�� �-.ZJ-.�D <br />TYPE OF INSPECTION REQUESTED <br />❑ 6LDG' Pmt. No.__ ❑ MKH- Pmr. Nn. <br />�YELEC: Pmt No.__��SDO ------- <br />/ ' — ❑ PLDG: Pmt. No.��_. <br />❑ Housinp [] Mnsonry <br />❑ Foclinp � ❑ Insulolinn <br />❑ Founda�ion Froming [� Greundwor{. <br />❑ Sewcr ❑ Dry��.Il Nuihny ❑ Crnsultabon <br />❑ Fireplace cnd Chimney � Rouyli.ln � Final <br />_ ❑ Scrvicc ❑ Othcr <br />---�_-- -�_� <br />APPROVAL � Pi1RTll�L APPROVAL <br />�_ ❑ IOLATION ❑ CORRtCTION REQUIRED <br />❑ Corretlions Iisled bclow MUST BE MADE bclnrc work con be epP�a,,� <br />❑ Work listtd below hos been inspec�ed ond approvcd. <br />❑ Pleose contocf insPeclor and arrange (or oppoinlment. <br />❑ Was not able lo {mr(orm {�spection, <br />❑ CnLI 259-8870 FOR REINSPECTION -- 2q hcur notice requirrd. <br />A Cerlifi�a�e o( Occuponcy shall be izwed oncj posted on Ihe premises prior fo oeeupeKy, <br />�C' — 9 9 _ Q _. /an / <br />Infpector_c�vi.e/e .}�_�._��� O � � <br />Dufc�' �� C1- �v <br />