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, <br />� � <br />� <br />� <br />' I�lSPEC�IOIV REPORT <br /> ���.� <br />` � s�//- � 3 � , <br />� � ��� � <br /> Address i�t-r�� <br /> 1 <br />� COntroCtor -�_��� <br />� � <br /> Owner_r J �r _. <br />� Dote a /� r�/�� <br /> I � <br />� TYPE Of INSPECTION REQUESTED <br />�� [�–BC6G: Pmt No. ��cs�- � � MECH: Pmt No. <br /> ❑ EIEC: Pmt. No._ ❑ PLBG: Pmt. No. <br /> 1 � Hausinp ❑ Masonry ❑ Insulation <br />� Footin <br /> f ❑ 9 �ming ❑ Groundwark <br /> i ❑ Foundation � Orywall Noiling Q Censulmhon <br /> ❑ $ewer ❑ Rough-In ❑ Final <br />� ❑ Fireploce and Chimney ❑ Service ❑ Other <br /> I � APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br />� <br />' � Cerreetions listed belr,w MUST B[ N�ADE befarc work mn be apprwed. <br />'� ❑ Work lis�ed below has been insDected and approved. <br />� ❑ Please eontoet inspector ond orronge (or oppoiniment. <br /> i Wos nof oblc to <br /> ❑ perform inspeclian. <br />� ❑ CALL 259-8870 FOR REWSPECTION — 24 hcur nolice required. <br />' .1 Certificate of Occupancy sholl be issued and posted on the premises prior fo oceupancy. <br />� <br />� /� <br /> I — <br /> I — <br /> 1 `♦ <br /> /� /r <br />� Inspec _ � " � �"v Date •2 � �C> <br /> / <br />