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c,�,Osz, <br />��.�,�„ I�VSPECTION REPORT <br />� /�1.2 J <br />�dd,�:�----���{ ) —�`�� <br />' /�I^.� //� <br />Conlmcfne � /�'/�� ` S 1 • <br />Owner _ <br />Dutc ---^,�� <br />�_ TYPE OF IN�ECTION REQUESTED <br />❑ OLDG' PmL Na__--p��s� �J,-� j] MECH. Pmt N��—_._..._ __ _ <br />❑ EIEC'. Fml. No_ _. __!=1 ❑ PLBG, PmL IJo._—_ __ <br />❑ Houtinp f 1 Musnnry [J In�ulalr n <br />�] Footinp ❑ Fruminp [' Groundworl <br />❑ FowJolon (-] Drywoll NuiLnp [i C�:multui��•�� <br />j j Sewcr �] Rouph�ln ❑ Fmol <br />❑ Fircploa: orxl Chimnty [J Srrvicc �] Other__ <br />.__- —'� --_'_'_ -- _' __'_,...,':�..,.. <br />dt, APPROVAL �] PAR1InL APPROVAL <br />L' VIOLATION ❑ CORRKTION REQUIRED <br />� ❑ CorecHons lisled below �AUST BE MNbE belorr worA con be approved � , <br />❑ Waik lis�ed bduw hot leen Inspecled and opprovcd. <br />❑ Pleo-u conmct msPcuor ond arronpe lor av�olntment <br />❑ Wa•: no� ahlc lo perlami impetlmn. <br />❑ CAI.L i59-8870 FOR REINSFKTION -- 2� huur nnbcr rcqwred. <br />A[erlihmte fI OCCUnOI1Cy :VIOII UC i55uc(I anA p,nird nn Ihe pirmnes prior lo oecupaney. <br />/ ��.....1 n �.�e_, <br />����I2���_`��!'LL.rf/��.'�_ r _ <br />� <br />� <br />J <br />