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� <br />e <br />INSPECTION REPO� <br />Address_ /—/ � �� _/_T_�__ �_.L.• �,•..r.+__i_ <br />Cnnl rotlu�.{�.��'� �. ___`^. _� ����i <br />Owncr_�.�-+Y�_�/l�S 7iE� ._'__—_ <br />U��: � rJ�7 �_'"_ _ ___'_' __ <br />. <br />� 'I'YPE OF INSPECTION REQUESTED �a� <br />� <br />goio�: r,,,�, N�._`='���!t� ❑ M�cH: �'mt. No.___.___ <br />❑ EIEQ Fml. No.—____—__— �] PLB(i: Pmt. Nn.__ __ <br />n Houtin� (I Alusonry r� Insulatirn <br />�o:lin9 �] Fmmin9 � ) Grrundw��r4 <br />❑ Fourldatlun �] Orywnll Nailinp [� C��multae��n <br />❑ Scwcr ❑ Rouph-In ❑ Final <br />❑ Flreplacrt and ChlmneY U Service j] O�her___ __._.' <br />PROVAL [, PARTIAL APPROVAL <br />VIOLATION ❑ CORRGCTION RF.QUIRED <br />�c ❑ Corrttllnns lisled 6c�ow MU57 DE MADE 6c1�'rr wed- cnn bc apprm�ed -� <br />❑ Work lisled balow h.,s heen im.pecicd and opprovcA. <br />❑ Please [onloct inspeUor .nd orronqe lor aPPolnlmcnt <br />❑ Wos nof oble to perlu�m In<pttl�un. <br />� CALL 259�Bfl70 FOIi RCINS�'ECTION �� '.A h.w n^�cr �cq�vml <br />A Cm11�i[o�c a( Ottupunty :hall Le issu.A onil p,�sled �.n �hn pren��tes pde� lo etCYNM►. <br />-"[ ,a / _ . . �% d ' <br />�/f <br />l ` <br />_ -;�'�.-� ��� _�� <br />; ��� <br />__ .._ , <br />�, <br />t <br />Infpttlnt _. <br />.�'h <br />� (�� .._ _ <br />�a,� �.�� -- <br />9� <br />