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O���,�„ INSPECTION REPOR�` <br /> Addrcsc—�/Z��A �i�/L /4Y <br /> CoNmttar_ � _ u ^ Lg R�4 '— <br /> � Owner � <br /> Date <br /> TY'PE'OyF INSPECTION REQUESTED <br /> [� BLDG' Pmt No.�.a�� ❑ MECH: Pmt No. <br /> � ELEC: ?m�. No ❑ PLBG: Pmt No. <br /> � Housin9 (] Masonry ❑ Inw�atien <br /> ❑ Fc,otinfl ❑ froming ❑ Groundwork <br /> ❑ Foundotion ❑ Drywoli Noiling Q Ccnsulrobon <br /> ❑ $ewcr ❑ Rough-In �� <br /> ❑ Firep�cce an.l Chiinney ❑ Service ❑ O�her <br /> � APPROVAL O PARTIAL APPROVAL <br /> ❑ VIOWTION ❑ C.ORRECTION REQUIRED <br /> SD Cmrections listed bclow MUST OE MP.DE be�=rc werk con Go apprrned,—a� <br /> � W'ork listed belnw hos been inspected and appmvid. <br /> � Pleose ca��act inspector and arrange tor apvointmenl. <br /> � vJas not ahle to F"r(orm inspection. <br /> ❑ CALL 259-8879 FOR HEINSPECTION -- 24 hcur na�iec rcquired. <br /> A Certi�rim�^ of Occupancy sholl bc issucd ond Vostcd un thc prcmiscs Driar b xcupanry. <br /> 15 <br /> ��/�'�%�� <br /> �n,prro. .����i������/ —'—Doi���_�� <br /> ( . � <br />