Laserfiche WebLink
�rveretl INSPECTION REPC�RT <br />AdAress_'__.' ����1 /�166.' _ ___f1 /���'�V <br />^ '� <br />ConnaClnl_'___�/ /��:/�. _-"�. L/ �(.AJ-s")t� <br />/'/ � <br />Ownrr_.___� 1�.1��i.0a_� '_ <br />/ / <br />fk.lc_____'_' '___._1_O_./�_ .�� <br />TYPE OF INSPECTION REQUESTED <br />�DLDG�, Pml. No.__ _�.1't� ❑ MECH� Pmt. Nn'__ ._.___ <br />❑ ELEC' PmL No._._. __.__� ❑ PLBG: Pmt N-:—_ _._._.-- <br />❑ Hnusin9 [I Masnnry (j Insulati:n <br />�1 Fnotiny � Framinq (l Gmundw:ak <br />('] Fnundotion [� Drywnll Nailinp [] Ccn;ulfatirn <br />� ] Gew�cr ❑ Fouqh�ln [� Fincl <br />❑ Fireplote and Chimney ❑ Service ❑ Other__._ .__._. .— _ <br />APPROVAL [� PARTIAL APPROVAL _a <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />[j Covectims lieled belnw MUST BE N.ADE be6�re wa.k can be appraved. —_ <br />❑ Work listed below has becn InsVecicd onJ apprwcd. <br />❑ Pleose contoct inspecMr ond orronqe for oppoinln,enr <br />Q Wos not oble W perform in�peclian. <br />[] ULL 259-887D FOR REINS�'ECI'ION -� 24 hcur n.:bc� rrquirc�l <br />A Certifitate ol Oca�,�on,; -linll h_� i��uvd onJ p�sl�d cn ihe !'renines p�iar lo o<tuponef. <br />_... . . . _� �� !. <br />��� �.� . <br />��� � , ���. <br />-- � <br />,_ <br />/(�,�,���/.n{�/_/� ,: <br />Inv,,., l r _ V'�--[%-4�-��/I� •^�-- <br />i <br />,,,�„ / %�). � j� <br />� <br />�� <br />��a <br />