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evrrefl <br />e <br />II1ISPECTION REPO�tT <br />Ad�«ss_a_�-�o�.o �.-rn m; -i- <br />C^ntroCtor__.�_�+�\�u rr-�\� <br />D�te__ � ._ 1 ___ -- <br />TYPE �INSPECTION REQUESTED <br />r- <br />�lDti: PmL No._y� ❑ MECH: Pmt N� <br />❑ ELEQ Pmt Nn, _ ❑ PL6G: Pmt No. <br />❑ Housing ❑ Mosonry � Insulolian <br />❑ Footing ���iing �] Grai�ndwark <br />❑ Foundoti;n [� Dryw�ll IJoilin <br />9 ❑ C�'nwltatir� <br />❑ Sewcr ❑ Rough-In �a� <br />❑ Fireploce and Chimney ❑ Scrvice � Other <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrcclians listed below MUST DE Mi1DE be(ore wcrk con be opprwed. <br />❑ Wurk Iisted below hos bcen insvM�ed mid opproved. <br />❑ Plcose contoct inspcctor ond orrongc (or oppointmcnt. <br />❑ Wos not ablc lo perform inspcc�lcn. <br />❑ CALL 259-8870 FOR REINSPECTIO?1 —� 2q h.:ur ncticc rcQuired. <br />A Cer�ifieote o( Octuponry shall be issued ond posted cn �he premises prior fo xeuponey, <br />_ _ . _—' _� —___' _ _ _— — _ <br />� <br />