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, . � <br /> ��,�. INSPECTION REPORT <br /> �,�_: so �_ ��.�— <br /> co�r.aaPor -./I/ s��v-� -J <br /> Owner ��_���a-�� <br /> Dotc__f�T7� _ <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG� Pmt No. ❑ MECH: Pmt. No. <br /> � EIEC: Pml. Na.— ❑ PLBG: Pmt. No. �' � q,7 <br /> � Housin0 [] Mosonry [] Insvlaticn <br /> ❑ FoDlirq [] Framinq [] Gnrcondwork <br /> ❑ Faurdafion ❑ Orywoll NaiGng ❑ CensutroM1on <br /> ❑ Sewer Rouqh-In �] Finol <br /> ❑ Fireploce imne � Service ❑ Oiher <br /> PROVAL [] PARTIAL APPROVAL <br /> ❑ VIO � CORRECTION REQUIRED <br /> ❑ Correctionf listcd below MUST BE MADE bc�ore wark can be opproved. <br /> ❑ Wark lisfed belaw hus been inspecled and apyrm�d. <br /> ❑ Plww contotl inspecwr and orronpe (or aPPoinhnent <br /> ❑ Wo� not able to perform inspection. <br /> ❑ ULL 259-8870 FOR R8INSPECTION — 2� hour notice rcyuired. <br /> A CertifiCofe of Ocwponq sholl be issucd/and posted on Iha premises prix b KtYM�. <br /> .� •iff/ A.� /J�.�/� <br /> r � <br /> _. oQ � <br /> InWectw_ � �i( ..�Dafe ��'�'V O <br />