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NOTICE <br /> ev��en AND INSPECTION REPORT <br /> e = y - - <br /> Owne.____Y'�_f LC�i�a.v�`,�.� <br /> .41dre:s af buil p�O _i���E��_�(�i�__--- <br /> —�� --�L� '__ ' <br /> Confroctar —�'-��--+' � <br /> a_ � <br /> �TYPE OF INSPECTIOIJ REQUESTED ` /�J <br /> ❑ FLDG: Pmt No.__ �MECH: Pmt No.7d �_ 7c'' <br /> ❑ ELCC: Pmt. No._ � PLBG: Pmt. No. _. i <br /> ❑ FoafinB ❑ Fmminp ❑ Branch Circu(t <br /> ❑ Faundaticn ❑ Drywal� Nailinp Purnace 23 K `,J ( <br /> ❑ Concrete Slob ❑ Rouph�ln �j Fnal <br /> ❑ Fircploce and Chimney ❑ Scrvice p Oth�• <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ COItRECTION REQUIRED <br /> ❑ Q+rrecHar.s I�:red belew MUST BE MAGF. befare worF ean ba of�prwed. �� <br /> � l�PpROVEf FOL OCCUPHNCY subject to certificate cf oc_uyancy. <br /> {d Work lisf+d below haz bren in��ttled ond approved, <br /> �� Pleau confacf InsPMlor and armnpt fcr aPPolnfinenl. <br /> ❑ Was nol oLle fo FMform inspection. <br /> [J CALL 259•8745 FOR i,F.IN`iPECTION -- 24 haur noticn required. <br /> __��--►�-�� _ ---- _--------- <br /> InsPecror�_`�" .,:�,'�`"=`""`_ �-. ---Date} L' <br /> � • � ..u� dv.in� 1h1� Impectior� � <br /> �'6 "._ __'__'—__ __ _-- <br />