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6808 SW PINE STREET 6808 SW PINE STREET a a4 w 0 cri 10 �"10, N tor INSPECTION TIME ' PERNIk DATE . DATE ISSIJED*--, OWNERS NAME : AD D R E S S : CONTRACTOR :-----.--------- TEST . Air 0 , Water Ll , Vj,3uaI 0 , Laboratory L-1 RESULT: Approved 1� Disapproved Cl , Pending 0 SKETCH: INSPECTOR DATE �OTE 1 Attach suppierntntal i,si j Iota heret