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. <br /> ���,e„ I�ISPECTIO�V REPORT <br /> � Address_-50 /���' — e� — <br /> � <br /> Conlmcror. <br /> Owner���zL <br /> �„� d/��d-� <br /> ? - TYPE OF INSPECTION R[QUESTED <br /> ❑ BLfX� Pmt. No._. _ [� M[CH. Pmt. No._ <br /> ❑ ELK: Pml. !Ja_. ._ [� PmI. No. ��G • _ <br /> [] Housinq [] Mosonry (] In;ul�b.,n7Z�pa <br /> � Foulinq [] Fmmin9 I 1 G��.undworLB 3`4�e <br /> � Foondaticn ❑ Drywoll Nuihnq ❑ O.n,ultobcn <br /> � (� Sewcr ❑ Rou9h.ln �al <br /> ❑ Fireplace and Chlmney O $crvice ❑ Other _ <br /> APPROVAL ❑ PARTIAI APPROVAL <br /> ❑ ❑ CORRKTION REQUIRED <br /> � ❑ C�rrettions listed bclow MU57 BE MAD[ Lelnre wor4 con be opprwed. <br /> � Work lisfed below has been inspected end opprrned. <br /> ❑ Pleav contacl insvec�or and armnye (or oppointment <br /> � Was not able to perform in•pection. <br /> ❑ ChLL 259-8870 FOR REINSECTION -� - 24 h;ur notite nrnQuuM <br /> A Certil¢ete ol Occuponcy :holl be is' ied and posted on 1he premises prior to o�cupaxr. � <br /> �C._.--, /_ " -3 c� . <br /> O Q � �, <br /> Inspector _Dofr � ��`"_�// <br />