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` <br /> i <br /> i , <br /> ���,�„ INSPECTICIN REPOR7° �� <br /> O <br /> ( �� � �j�� .y�/) <br /> Addrcst��=L—�.f1---�--��✓ � ���� � " <br /> Conlractar � <br /> Owncr <br /> � A D CL�l I <br /> (kilC � <br /> _.Tes_. :_—:.___—"__-__ __ ._..__ __ <br /> ____ <br /> TYPE OF INSPECTION REQUESTED I <br /> [j �LDG Pmt. Nn.. ,T ' ❑ M[CH. Pml. Nn.___ - <br /> � ELEC: Vm�. No _L�4..Q--� �7 PLDG� Pmt. No__-'-'---' i <br /> [] Housinp [7 Masonrv I] Insulatinn i <br /> � Fa.:ln9 [] Froming (1 Grnundw�+r1 <br /> � Foundalion I7 �rY�'�II Nailin9 �] C��nwltaln�n <br /> �J Sewer [] Rouph.ln �.) (�nal <br /> [] Pirepla<e and Chimney �1'Srrvice L] Other____-_ - . . --. <br /> _—__.__._——'—_—""_'-__-_'_'__ ,-"._--.".--__. _ ..- _ -:.-_ . <br /> ,g� APPROVAL [] PARTIAL l�PPROVl�L <br /> �� VIOLAIION ❑ CORRCCTION REQUIR[D <br /> � Canetliom Ilsted bdow MUST BE Ml�DE 1 I.�+c +,rt c�n Lr cpp� nn1 <br /> n Work lisltd below hos been impected and apprnr�J <br /> ❑ Pleau eonlact inspector and arranqc lor oPPointm��nt <br /> ❑ Wm n�1 nble lo perlorm inspabon. <br /> ❑ CALL 259�BB70 fOR REINSPECTION -� 21 h��or „ o„� �i•�i�+���•�1 <br /> A Certifimte ol OccupancV sholl be iswed and p��sted on �he premius prior fe xcupan<y. <br /> 12,�r � �/rT�� r . <br /> �` � Y-� � �F-d'�•v'�- <br /> _ ��___---- - <br /> --�----,.. �.� z � <br /> � _I � � <br /> InSPeClor '_�-_�2_'.��L4�--'_ _._ (l�tr_J_-'.�c�-�_"__"_ <br /> I <br />