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NOTICE <br /> AND INSPECTION REPORT <br /> evrrrtl I , _.___ __—_ <br /> � �=�_�" , <br /> l�ddress _.--- _=1__ <br /> Contractot_ <br /> �; _�-�, r �u1.��� ���, <br /> Owncr_.G` ' �� � � L�n'�r <br /> Requested by— --------- <br /> TYPE OF INSP[CTION REQUESTED <br /> �] BLDG: Pmt. Nn._ ❑ MCCH: Pmt. No. <br /> (] ELEC' Pml. Na. � r.-.`.. .� - ❑ PLBG: Pmt. No.-- <br /> CI F�°�100 ❑ Fmming ❑ liranch Circuit <br /> C� FoundaNcn ❑ Drvwal� Naillnp ❑ Furnace <br /> [] Cancrele Slab ❑ Raugh-In � Final <br /> ❑ Frteplace and Chimney ❑ Service � Other_--- __ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � ❑ Corrections listed bclnw MUST �E MADE belore work can be approved. <br /> ❑ APPROVED FOR OCCUPANCV subject ro ccrtilicatc o( cccupancy. <br /> � Work lisicd bclow has becn inzpected and aPprored. <br /> � Pleose contoct inspector and ormnge for apPoinlment. <br /> ❑ Wos nol ablc to perlorm impecticn. <br /> ❑ CHLL 259-8745 FOR REINSP�ION — 21 hour notice requircd. <br /> ---- �'-� <br /> -�°%_��'(- - _ -c'�'--1lls F-- <br /> � - -- - - - - <br /> .- -- <br /> _ <br /> � � . <br /> � �, i� �_ - , � <br /> In�l.��t �r_._ ��/�_.�.�"_ . � ."(� L Da�u_ `_ �!`_ _ _._.L-- <br /> L '�—___"— <br /> I H�us present durin0 ihis insp�'��i�.�.��. <br /> ,���.�, <br />