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INSPECTION REPORT AND
NOTICE OF NONCOMPLIANCE
Report Date: Inspection Date: Permit No.: Parcel No.:
Project Address: Subdivision: Lot No.: Block No.:
Inspection Type(s): Footing Erosion Control Foundation Bsmt Drain Tile Construction
Heat/Vent/AC Plumbing Electrical p Insulation /Energy Occupancy
Owner: Contractor: r
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AN INSPECTION OF THE ABOVE PREMISES HAS DISCLOSED THE FOLLOWING NONCOMPLIANCES:
ORDER CODE SECTION FINDINGS AND REQUIREMENTS
NO.
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1
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IMPORTANT: Please REPORT when violations are corrected. AVOID DELAY.
NOTICE OF NONCOMPLIANCE
All cited violations shall be corrected within 30 days after written notification unless an extension of time is granted. Each day that the violation
continues after notice shall constitute a separate offense and is subject to remedies and penalties by the authority having jurisdiction.
Enforcement Town County City Authority By Municipal Ordinance Section:
Jurisdiction: Village ❑State y OF
Inspector's Name: Violations Explained To: Compliance Date:
Inspector's Address: Office Hours: Telephone No:
SBD -6025 (R. 1/93) Page Of