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✓ <br />INSPEGTION REPORT <br />Address �%/.����� �-� <br />Conlractor <br />Owner . <br />Date <br />❑ APPROVAL ' U PARTIAL APPROVAL <br />❑ VIOLATlON r� CORRECTION REQUESTED <br />p Carectlons lisled below MUST BE MADE belore woik can be approved. <br />p Please conlacl Inspeclor and arrange lor eppoinlmenl. <br />❑ Was nol eble to perform Inspectlon. <br />O CALL 259•8810 FOR REINSPECTION — 2A hour nolice required <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND PUSTED <br />ON THE PREMISES PRIOR TO OCCUPANCY. � <br />NO AECORD OF AEQUEST FOR INSPECTION WITfIIN LAST <br />180 DAYS. FILE HAS HEEN SENT TO RECOFiDS FOR <br />MICROFILMING. <br />Inspeclor Dale <br />TYPE OFINSPECTION REGUESTED <br />O Temp. Eiecl. ❑ Freming O Gas Piping <br />7 Fooling ❑ Drywell, Neiling ❑ Consuilalion <br />O Foundallon O Shear Nelling p Groundwork <br />O Ouclwork O Grld p Slrucl. Slab <br />O N/ood Stove ❑ Rough•In O Final <br />a Masonry ❑ Servlca O Insulalion <br />❑ Olher <br />p BLDG: Pml. No. �S'�((,�_ p MECH: Pml. No. <br />O ELEC: Pml. No. O PLBG: Pmt. No. <br />