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.�� <br />e <br />INSPECTION <br />REPO� <br />�f'LrJ(�i.._� yTi� �T_�_r . <br />Address_ <br />� ���� /G -O, <br />cunt.oclor_���-/-- <br />Clwner_�G!i �j- -�J��✓ S�- <br />D�tr___ _ _�1��/7 �--- --�-----��--- <br />3 TYPE OF INSPECTION REQUESTED <br />y��l)�: Pmt Nn._�.-�� ❑ MFCH�. Pmt Nn.__— <br />❑ ELEC: Pml. Nn._.__ ----'--- C1 PLBG: Pmt. No.�-�--- <br />Ll Masanr� ❑ InsulaGrn <br />[� Fl��using �l Frommq f ) Graundwrnk <br />�] Fwtinq <br />�oundoflon C1 Drv�.,u Nailinq ❑ C�n;ulratmn <br />❑ R^uuh-In ❑ Finol <br />❑ Sewcr �] Othcr <br />❑ FlrePloce and Cf�imneY C I S.rvice-__ _ __ _ <br />��-�-jt�jAPPROV/�L �-� LJ PARTIAL APPROVAL <br />❑ VIOLATION (] CORRCCTION_REQUIRED <br />:�.,�- <br />� Conecflons listed bel��w ti���ST OE MADE beLre w^�4 cnn be aVP��'��� <br />� Work listed bebw has 6cen Inspc[ted and aPnraved. <br />� Pleose amtoct inspeclor and orrnnpa ior aPP�inlmr.nt <br />� Wot nnt able to perform !n•Pccb�n. <br />❑ ChLL :59-8870 I'OR kEIN5PEC110N - 24 h'ur m.trc� requircA <br />A�Ailimte ol OttuPonry �.I��cll b: izsu.,A a��A p"slcA �++ Ihe prrm�ses Driar Po o!eYMM►. <br />'__'__ "' . r .. <br />� / � . . .. ' _'___ . _ <br />Insncclor... <br />�.6 <br />- o�����_ <br />