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r— <br />cvcren <br />e <br />oI�ISPECTION R;EPO�tT <br />/�ddress— <br />�������_ <br />/ ) > <br />Controctor " n��%s�G� <br />Owncr �� /7 ���� <br />/ ��ty <br />Datc�fG• �L–C L—. _� — <br />TYPE OF INSPECTION REQUEST[D <br />❑ o�o�: P,�,i. N�.—_ <br />❑ ELEC: Pmt. No.__ <br />❑ Hausin9 <br />❑ foobng <br />❑ Fcundotion <br />❑ 5cwct <br />❑ Fireplate and Chimncy <br />❑ A1ECH: Pmt. No.— <br />� PLOG: Pmt. No._ <br />❑ Moscnry ❑ Insulotirn <br />❑ Froming Graundh�rk <br />❑ Drywoll Noilinq [ �C^mvltnticr, <br />� Iicu9h-In ❑ F�nol <br />� Sarvice ❑ OIlxr_ <br />� APPROVAL ❑ PARTIAI. APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />S'�' . ❑ Correttions listed bclow MUST BE MADE bclorc wod; con be approved. <br />❑\Yark listcd bclow hos bcen inzpeeicd and opproved. <br />❑ Plcasc comact inspccror ond orrange far opDo����nrnl. <br />❑ Wos not oble to perform inspccticr. <br />❑ CALL 259-8870 FOR REINSFECTION — 24 hcur netice rcquirc,l. <br />n CerlifiCole of Octupancy shall be isweA ond posted en the premisCs prior fa oe<upone�. <br />l_'L� � C�"� ilt�� . — <br />- ��--- - G�� -�-- - �-� <br />In:Pccinc__—_—. _._.—LlC1____. _ ./� \- ___Oolc—�•_�� <br />'i _ <br />I <br />1V; <br />.�,:.h <br />