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ererM <br />e <br />c�2.�:3�� <br />INSPEtTION REPORT <br />�de.« v �v <br />��� — <br />Contrat or ` �r <br />Owner <br />TYPE OF INSPECTION R�QUESTEG <br />❑ OL : Pmt. No.�-�-�--�--�— �] MECH: Pmt. <br />LEC: Pmt. No. �/�1S_. ❑ PLBG: Pmt. <br />❑ Housinp [] Masonry [] Inzulotion <br />� Footiny [] Froming ❑ GroundworL. <br />❑ foundation ❑ Drywoll NuAing ❑ Crns tati��� <br />❑ Sewer ❑ Rouph�ln mol <br />❑ Fireplate and Chimney ❑ $crvice � Other <br />�APPROVAL ❑ PARTIAL APPROVAL <br />/C1.VIOLATION ❑ CORRECTION REQUIRED <br />❑ Cavections listed below h1UST BE MADF h��f��r�� worL. mn be opproved <br />❑ Wark lis�ed below hos becn inspected ond an�wv.J. <br />❑ Please conloct ins0«�ar ond ormn0e (o� aOPomtment <br />❑ Was not ablc to perlorm intpecbon. <br />❑ CALL 259-8870 (OR REINSPKTION — 24 hour ��..irtc rcyunrd <br />A Certi(ieole ot Occupancy sholl Le is;ued and V�sted on �he pren�ises prior ro occupanq. <br />� � � <br />._.Datr._ �=1 �L1L/ V <br />