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�- � ,� ���.�n INSPECTION REPORT <br />� �2?vn/ —07 ° � <br />��,et. i <br />Contm[ror_ `� �� QC.^ <br />(� � <br />Owner- �I ,�-� Sy��) <br />Datc—_ � / C�� <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG; Pmt. No. ❑ MECH: Pmr. No. <br />❑ ELEC: Pmt No"=?OCn " p PLBG: Pmt. No. <br />❑ Housing ❑ Mosonry ❑ Insulolion <br />❑ Fooling ❑ Froming [] Groundwork <br />❑ Foundotion ❑ Drywoll Nailing ❑ Ccnsultohon <br />❑ Sewer ❑ Rough-In ❑ Finol <br />❑ Fireploce ond Chimney ❑ Scrvicc ❑ Other _ <br />�' APPROVAL ❑ PARTIAL APPROVAL <br />p�VIOLATION ❑ CORRECTION REQUIRED <br />❑ Conections listed below A1U5T BE MADE belare work cun be approved. <br />� Work listed bclow hos been inspecled and opprovad, <br />❑ Pleose conmet inspector ond arronge lor oppuintment. <br />❑ Was not oble m perPorm inspecUon. <br />❑ CALL 259�8H70 FOR REMSPECTION —� 24 hnur noncc rcywrrd. <br />h�erti(i[ole of 0[[upanty shall be issucd und pcsted on the premises prior fo p�cuponc , <br />Y <br />