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Q.��.�„ �NSPEC�AN REPOR� <br />MArefs � / � �d Y ��'� <br />Conlwcm��( � <br />Owner �� � <br />bilr —������ � <br />TYPE OF INSPECTION REQUESTED <br />❑ BL[7G� Pm� Nr� _ I�CH. Pmt N�� ��S <br />❑ ELEC: .^m�. No _ (] PLBG Pml. No <br />�] H�w�inp j'� Mntnnry I � Insuloli n <br />� faotin9 (] Fmmm9 j' Gi�mnAwnr4 <br />� Fnmidatian [� Orywall Nuilinq ( � C�mullol�on <br />I7 Sewer ❑ Rou�h-In ❑ Final � <br />� Flrcplace anA ChimneY Il Scrv�<e - I�er_�P_4��R <br />APPROVAL [] PARTIAL APPROVAL <br />�� p CORRKTION RFQUIRCD <br />❑ C�veclions Ipled belrov MUST BE MAnE brl �n w�rl can be apprweAi�y <br />[] Wnrk lisfed balow hos oeen Inspttted ond appnn.d <br />❑ VIeaM tnnlacl InsVeclor arul anon9a lor aPPoinlmenl <br />� Wof nnt obin to Mrlorm Impaction. <br />❑ ULL'ISY�98J0 fOR REINSPKTION N h�ur mbcr reqwreA <br />A Grtilkale al Occupanry shull be n�vrd nnd P„+��'J ��n Ihe Prrnnse� prior ro KeuNeor. <br />Infpeetor_ � —"^--I�n�e_ _ �- /� '�/ . <br />� <br />