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� � <br /> ,� ���,�„ INSPECTION REPORT <br /> � Addres r'—���� � '—�n�Q�T— �� <br /> Controctar p � <br /> � <br /> Owner � <br /> Date c����i�F C� <br /> TYPE OF INSPECTION REQUESTED <br /> �LOG: Pmt No,- ����� ❑ MECH: PmL No. <br /> ❑ ELEC: Pmt. No. p PLBG: Prtit. No. <br /> ❑ us�ng ❑ Mosonry � Insulation <br /> Footiny � ❑ Frcming ❑ GrnundworV: <br /> ❑ Foundation ❑ Drywall NoiGny ❑ Cr,mulmtwn <br /> ❑ Sewer ❑ Rough-In � Finol <br /> ❑ Fireplace and Chimney ❑ Scrvice ❑ Other <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE 6efnre war4; can be apprwed. <br /> ❑ Work Iisted below hos bcen inspected and a�Orovi•d. <br /> ❑ Pleau conlact inspeclar ond orronge for oppointment. <br /> ❑ Was nof ablc ro per(orm inspe�tion. <br /> ❑ ULl 259-8870 FOR REINSPECTION — 24 hcur noficc required. <br /> A Certifieate of OeeuO��CY sholl be rssued a\nd posted en the premises prior fo xeupaney. <br /> l�-'.'7`'J��-.—� � \� <br /> i � . � � <br /> � � <br /> �` .�.� ^- ' ' �. <br /> -� �12���!_� ".-i-n /___ �/ <br /> — �a��_� <br /> k. , _ ,�� <br />� �� <br /> ��2�� � - -- �x - <br /> InsPecro __Da Ic <br /> �/ <br />