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�rveretl I�ISPECTION REPORT ' <br /> ArlAress�(/ �/) ��//✓ �YL�'t �`�" � <br /> C��nhactnr �/�- ���+r'� <br /> nwnrr <br /> I�itr�����_ <br /> TYPE OF WSPECTION REQUESTED <br /> �] PLDG� Pmt. No.�"1L� �� MECH. Pm1. Nn <br /> �� ELK: Pml. N�� �] Pi f3G�. Pm�. No__—_.__ <br /> �.� Hr.uiinq ! J Mnu,nry [ ) Im�ilaln n <br /> 17 ��linq hammq [', Grcimdw.-�t <br /> �J Fnundplion �Drywnll Nwlinq �-] C�'nwlloL � <br /> ; I Srwrr [] Rnuph.ln ❑ Rnol <br /> ( � 1�r�pince and Chimnry (] Srivicc �J Olhu__ . __ __ _ <br /> _. .:__�_..:- •--._ _ . _ . . . <br /> ,:.:__-°_ .::__: __ . _... <br /> I I APP(20VAL ( � nRl IAL APPROVAL <br /> I ] VIOLAl ION �j�CORRCCTION RE(�UIREh <br /> ( 1 l,rtmclions lishd bcl'w MU57 13E MAftC LcL��r��w� �l r::n Im ul¢�r...ed � <br /> � 1 WnrA G���`d beluw hos bcen inSPecled unA apprnvul <br /> � ] Pieou cnnlo<t msVeclnr and arron9e lor oppomN+enl <br /> �l Wns nut oble 1�� perlunn imt�ecbun. <br /> � J IPLL 259�6P70 f01: RCINSPECTION -- �� h��:ur n�:ia�� n,�,���rd <br /> n Ce�t�licul d p��.�,-� -.hull:e �stued anA pos�eJ on Ihe premuei prior lo oeeupaney. <br /> _� <br /> �, � � •� ��T�J <br /> I - <br /> - � --/ ----- - _ __ - --- -__ . <br /> I,�y,rtM1 y(j[/q[�=�_ �� . . . LbiC_�__�Y_��/_. <br /> / <br /> � <br /> � <br /> � <br />