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����,�„ INSPECTION RE�ORT <br /> Address G�Z�� T�e,�c.� �2 <br /> COnfrocror� �t�cl.PiF/Tr' <br /> Owner C�C�/ . /�Gl ��/TT' <br /> Date���_�/�� <br /> TYPE OF INSFECTION REQUESTED <br /> ❑ BLDG: Pmt. IJo. [a}�NiECH: Pml. Nn, �� Z � <br /> ❑ ELEC: Pm�. No. ❑ PLBG: Pmt. No. <br /> � Housinq [] Mosonry ❑ Insula�icn <br /> . ❑ Footinp [] Froming [] Groondworb. <br /> � ❑ Foundation ❑ Drywoll Nuilin <br /> g ❑ Censultoticn <br /> � $ewcr � Rou9h-In L,�I /� <br /> � Fireplace ond Chimney [J Service �J Other ��G�.'AC� <br /> � ROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REOUIRED <br /> ❑ Conettions liziv.d below MUST OE MADE Lelore worL, mn be opprwed. � <br /> ❑ Wo.k lizted below hos bcen inspected mid opPruved � <br /> ❑ Ploau eon�o[t inSpeUor ond arran9e (or appointment <br /> ❑ Wos not oblc to perlorm insPection. <br /> ❑ CALL 259�8870 I'OR REINSf:CT10N �- 24 hcur nolicc �uquucd. <br /> 2s9 -87t�5. 3c��c gu��c,• <br /> A �erlifieate ol Occupancy shall be issued anA posfed on tfe premisez Drior /o xeupvncy. <br /> _ ��N ��T�✓c �x�sr�,—_— <br /> � � — �� --, <br /> ���2� �� �ce�i. cAl EeK� � <br /> � <br /> In�tttor " r/i-"'�`- � Dot� /� 3c �� � <br /> � � <br /> � <br /> ��. ;; <br />