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i � <br /> '� IN�I�ECTION IREPORT � <br /> . � <br /> Address _ SG�/p� PQ (,�� I <br /> , , Conlraclor , � <br /> , � <br /> Uv,ner, j <br /> t <br /> Dale_ C� �S -� � <br /> O APPROVAL ' i� PARTIAL APPROVAL � <br /> I ❑ VIOLATION ❑ CORRECTION RECUESTED � <br /> ❑ Correclions lisled beluw MUST BE MADE belore wmk can be upproved ` <br /> O Pleaso conlacl Inspec�or end arranga lor appoinlmenl. <br /> O Was nol eble lo porlorm Inspoclion. <br /> ❑ CALL 259•8810 FOR REINSPECTION — Zq �iour nolice required <br /> A CERTIFICATE OF OCCUPANCY SHALL 6E ISSUED AND POST[D <br /> ON THE PREMISES PRIOq TO OCCUPAtJCY. ' <br /> I • <br /> � <br /> � NO IiECORD OF REQUEST FOR IDISPECTION WITIIIN LAST � <br /> 180 DAYS. FILG HnS bEEN SGNT TO ItEC0RD5 FOR <br /> MICROFILMZNG. <br /> I <br /> � <br /> Insper � <br /> D�le <br /> TYPE OF INSpECTION REQUESiED — � <br /> ❑Tnmp. EIecC. ❑ Framin <br /> � f'ooling ❑Dr all,9 Natlin �Gas Piping <br /> ❑Foundallon Y"' g O Consullallon . <br /> ❑ Duclwork �S��ear Neiting �Groundwork • <br /> O Wood Slova O Grid ❑Slrucl, Slob <br /> O Mesonr O Rough•In p FMnI i <br /> Y ❑Service ❑Insulallon <br /> ❑011ier <br /> O BLDG: pml. No. _ p MECH: Pml. No. l,t�(T/I'(i1� ' i <br /> ❑ELEC; PmI. No. ❑PIpG: Pml. No. ' <br />