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���,�„ INSPEC'!�IOlol REPOItT <br /> , � Address O� /,�� �c7���"'1-- <br /> Controcror ��h �1��"�a- <br /> Owner�—���'t p� <br /> Dote //�S'��� <br /> TYP[ OF INSP[CTION REQUESTED <br /> ❑ BLDG: PmL No. ❑ MECH: Pmt No.� <br /> ❑ ELEC: Pmt. No. p�P�G: Pmt. Na�� �y� <br /> �] Housing ❑ Mosonry ❑ Insulaticn <br /> � Fooling ❑ Froming ❑ G�oundwork <br /> � Foundation ❑ Drywall Nailin9 ❑ Ccnsu!tono� <br /> ❑ Sewcr ❑ Rough-In inal <br /> ❑ Fireplace-and Chimney ❑ Service ❑ Other <br /> � �{ APPROVAL l ❑ PARTIAL APPROVAL <br /> J�L- - <br /> ❑ VIOLATION p CORRECTION FEQUIRED <br /> ❑ Correttions listed below MUST BE MADE bc�orc work can be opprwed.� <br /> p Work listed below has been inspecled and approved. <br /> ❑ Pleasa contact inspector and arronge for oppointment. <br /> ❑ Was not able to perform inspectian. <br /> ❑ CALL 259-8870 FOR REINSPECTION �- 24 hcur noticc reGuireA. <br /> /� Certifica�e of Occupanty shall be icsued and posted an Ihe premises prior to xeuponey. <br /> �%� �' <br /> � � <br /> . <br /> .. E�� qfin �G �ci i' . <br /> % � ���r'� >�sf ,-�F �i��,,c�s� <br /> � <br /> , _ � <br /> ,� �T��� il �� � � � r� ��'-���,�u����'=F�IF�= <br /> � <br /> � , � I -' � <br /> -�fY-=�T-[.Q :� G-�1�'C:�-�� Darc / -��/'< <br /> � InspeUor ,-� <br /> ` i <br /> �_� <br />