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� <br />e <br />INSPECTION REPORT <br />����,�,�--�L1_=�(a'�'�" _ _ <br />�..��,a�,o,--- �-��—�-� �—�--- — -- <br />Owncr___ _ __ _ —..' . -. ----" - <br />— -_' <br />� � ` I 1--1(' --.-- <br />Dnte___ _- _ _ ' _ _ - ' <br />T TYPE_ �]I�PEC710N REQUESTED <br />.�LDCi� Pmi No.__���1._ ❑ MEChI�. Pmt Nn."___—_ <br />❑ ELEC Pml. Nn _.------- ❑ PLOG' Pmt. Na_.._— <br />❑ Hcusing ( J Mnson.v ❑ In�.ul�tion <br />wtinfl ❑ Frominp f I Cir,nmAwnrb. <br />� Foundolinn (! Orywall Nnilinp [-i C"nuJtat�^n <br />[� 5rwer [1 �cu0h-In [] Rnal <br />[] Firepl�ce anA Chimn�y [] Scrvice � Olher_ _--. ---.--- <br />-..,.-...:--__'-_"—�'__-_,___s_ - __--a�,: <br />[ ; APPROVnL �. J PARTIAL APPROVAL <br />[ � VIOLATION ( 7 CORRECTION REQUIRED <br />❑ Cnrrectl�ns I�sted brb+w MIIiT BE MADE Lefcre w��il cen beLapP�med� <br />[J Work lisled helow has bcen InspecluA anA approval. <br />❑ Pleose conroct ins.actnr nnd airnnge (or apP�intmcnl <br />[] Wos not able lo {rer(urm impecticn. <br />❑ Cl�LL 259�8B70 FO�i kEiNSPECTIpN �- 2J h..ur i+� eo� requvcJ <br />A Cenifientc ol OCcu�wncy �,holl bc itsuo,:l and,pcslcJ un tl�e Prrmiscs p�iar fe ett�p�llq. <br />_ c�.�`z'�� I � c� �_� <br />__ __ _ _ �.�� � - <br />Q�� � <br />� - Q�� <br />--�-�-�� <br />��.������. � <br />��-� <br />� <br />�(� <br />�� <br />i ...� " <br />, � �� <br />.--._�-4:'�' �� _ <br />I ' <br />�, i <br />L�i1c �7!/ _Z! <br />