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���,�„ IPISPECTION REPORT ,, <br /> n• e, , „ <br /> � n�i,i.�,5 __ �:�-:�c.�_� _C_c'.�-_�,�I c�J' �f <br /> : �_. <br /> C,ntiacrcr--. �(L_Lu—�.-+�r.1�C.r_���4C.✓t <br /> v ,• <br /> Owni�r___.._____._.'__"_' _____" _'._ <br /> ftn�, _ "_' ___ __/(f�--7-- "_"_'___—____. <br /> TYP[ OF INSP�CTION REQUESTED <br /> ,�l1IhG� Pmt 1Jr._.3�C�� C1 h��CH. Cnrt. No.___.___..__ <br /> ; i EIEQ {'mL �'n_ �J-/-���--_ f�l PL6Gt Pmt. No.______—"__. <br /> f ' II-usinp [� Mosrnry [] I�<ulatirn <br /> � Fa�tin� [7 fmmin9 �� Groundw,+l <br /> �, i �ri�ndntion ❑ piywall Nailin9 [) G n:ulbt� n <br /> , '.. `.,,w., �� It�uqh-In ��nul <br /> , 'i fu,,�lu;�, ond Ch�mnry II S,rvitc i.l Other__ ___ " <br /> ,-�APPROVAL �_� PAR1lAL APPROVAL <br /> � I VI01_/�TION [� CORRECTION REQUIRFD <br /> � 1 G�.i tti�•ns In�ed 1 6 w MUST UE M/�IIC I f �r w� �I can be av� r.�red <br /> � � W��.rk listed beL��w h��s h.�en insV�`cted aud approvcJ. <br /> . i i'IrnsC canlatf inspcctor and ovanpc lor ann���t�,��r <br /> � �. �ti'us nul ahic t: perfnrm in•yccb.�n. <br /> I �; C/�I L 159�8870 lO�. I:CINSPKTION �- 21 h �ur nntr�� „•,�ui�rJ <br /> A G.rbl�cate of Oaui,a f,>' ch.:ll L: icu� I ar.�l p ,trd � �. the prem.��es prior to o�<upanq. <br /> `� � /r'�" I/ /��'��� �/C..�/ <br /> L / <br /> 1 <br /> f ��� � <br /> f i <br /> � � -�' � l/ j�� <br /> `� �� �/G\.., <br /> 1 � <br /> � � <br /> • _ � <br /> � I��sr'rct��r �' . �'� .Datc_���� __��_ <br /> / <br /> � �. . <br />