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���,�„ II�ISPECTION REPORT <br />� _ ' - • a 5 T. � <br />Addrrsf_._ 7•, � _ ! 5--._. - -.1-. �_• <br />conemctar_. _ _ <br />_L1 tt L- T-1— 7�Ct� ' <br />Owner.___--------^� Q — <br />Dnlc_-. _ .._ _ �_�- f-�—� / __-_ —_" <br />T TYPE OF INSPECTION REQUESTED <br />�� (�, .�1�'__ ❑ M[�H. PmL No._ __ __ <br />.�Lp�� Pmt No.___ --_ n pLBG: Pmt. Nn.---� <br />a... <br />❑ ei.ee: r.,�. No- -- � i�,�,ia���� <br />�i.,����� r.� Mo,o�rv <br />� i A � framin9 [7 �+��nindw<•rk <br />�"J Fnntinp � prYwall Nallin9 ❑ f•nsulmli�•n <br />❑ Foundotion �� R�u9h�ln ❑ Finol <br />Il Svwrr Othcr_----' --' <br />p Freploce ard Chimn�Y ❑ Scrvice� L7 _ '—_ _ <br />� APPROVAL [:] PARTIAL APPROVAL <br />❑ VICIJ�TION [7 CORRECTION REQUIRED_ ___ <br />T— —__— <br />-_--� Corredloro lis�ed below MUST OC MADE bel�;rro cdrk ean be apVr�"ed.'� <br />� Wmk lisied below has becn inspecled °^d �wintment <br />[j Plense conro<t insPector and ormnqa for apl <br />(] V!m n�t eble lo �Mrlo�m inspcU'�'^� <br />❑ CALL 257 8870 FOR I�EINSL'EC110N -- 24 h�ur nmicc �equircA. <br />A Cenilicalo ol Occul�a��q. •hall br issued anA p�.sied �.n Ihe prrmises Orior la xaupenar. <br />7-_3a =?9 <br />Q/lPr /O:O�J� l✓ooK-/'a,cc <br />_ .. � � � �� <br />� �� <br />InSpCi <br />� <br />�.�,,�.7� �,���' <br />