Title Page

  • Document No.

  • Audit Title

  • Location
  • Conducted on

Inspection Report

  • Permit Number

  • Date & Time

  • Location
  • Type of Inspection

  • Comments

  • Attachments

  • Sketch

  • Pictures

  • Result

  • Notice of Violation

  • Violations

  • DAYS TO CORRECT VIOLATIONS FROM THE DATE OF THIS INSPECTION

  • PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. APPROVAL IS REQUIRED.

  • This structure, system, equipment or portion thereof was inspected in accordance with the Pennsylvania Uniform Construction Code (PA-UCC)

  • Inspector

  • City of Pittston - 35 Broad Street, Pittston, PA 18640 - 570.654.0513 - code@cityofpittston.org

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