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��„ INSPECTION REPORT <br /> e Nyo�,-,���� <br /> Mdress <br /> Contmctor <br /> Owner / . <br /> patc <br /> TYp'. OF INSPECTION REQUESTED <br /> ❑ MECH: Pmt. No..------�— <br /> Pmt. No.__-----�� ❑ PLBG: Pmt. No.�— <br /> ❑ ELEC: Pmt No.----�'— � Insulatiun <br /> Hwsinq ❑ Masonry � Groundwork <br /> ❑ �] Fmminp <br /> � Footinp � pn,N.all Noilin9 ❑ Consultation <br /> � Foundation � F�9h-In ���.n� <br /> � $ewer Service � ��h° <br /> � Firepiace and Ch'm Y � __�___--noRl1VAL <br /> ��qppROVAL ❑ rAK� �.,� ,.. , .._ .. <br /> ❑ VIOIAT��N ❑ CORRECTION REQUIRED <br /> k ca be aPr <br /> � CorreUions listed bdow MUST BE MADE � 1 mv�d. <br /> � Work listed below hos becn insPecled ond °avntment. <br /> � Plsose cwimct insPector ond arron9e lor a0P <br /> � Wos not able to Oerform inspecLon. _ 2+ houf notice reQuired. <br /> � CALL 259-8870 FOR f,EINSPECT10N <br /> A Certilicole of Occupo^�Y sholl be issued ond posted on the premises v��or ro d��MMY� <br /> � �: �3 —�— <br /> �— <br /> �O�~ �—�'_ <br /> �" <br /> _—�-- <br /> �— <br /> – �' �( Date C ! .-.�_ E•��– <br /> InspKtor <br /> �� � <br />