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INSPECYIt�N REG�ORT <br />-^ �F� -�.� 7 t i <br />Addreft_.� � �'� — <br />Cantmclor <br />Owner <br />���U�(n��r� �� ��-i Gl. tT' <br />Dote �� <br />TYPE OF INSPECTION REQUESTED <br />e,' ❑ BLOG: Pmt. No. ❑ MECH: Vmf. Nn. <br />� Q ELEC. Pmt. No. '�'"' '� '�- ❑ PLBG: Pmt. No. <br />� Housin9 ❑ Masonry ❑ Insulalion <br />0 FooHrp ❑ Fmminp ❑ Groundwork <br />❑ Fwrdalion O �M�'all Nailin9 ❑ Cens�liativn <br />❑ Sewer ❑ Rouph�ln O Finol <br />�] Fireploce ond Chimney ❑ Scrvice O Olher <br />�APPROVAL ❑ PARTIAL APPkOVAL <br />❑ VIOLATION ❑ CORRECTION F.EQUIRED <br />❑ Correctionf Ilsted below MUST BE MADE bclnrc work con W oODrwd. <br />� Work lisled below hos been infpected ond opprorcd. <br />- � Plww contoct inspeclor ard orran0e lor oDl+o�^�ment. <br />� Wm nol oble to perform inspect�on. <br />❑ ULL 259�BB70 i0R REINSPiCTION -- 21 hour nonce reQ�ired <br />A G�Nfkpte u� pttuponcy shall be �ssued and posted on Ihe premisef o�+e. ro«�awMr. <br />���/ � l� ,�� , ., �� Dal �- <br />Inspector -- <br />