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NOTICE <br />EelAND INSPECTION REPORT <br />owner__/� w+ <br />65__ -___ <br />Address of building <br />Contractor <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG Pmt. No._ ❑ MECH: Pmt. No <br />❑ ELEC: Post. No ev PLBG: Pont. No �5/• ��� <br />❑ Footirg ❑ Framing ❑ Branch Circuit <br />Q Fuuncation s❑Drywall Nailing ❑ Furnace <br />❑ Concrete Slab Ner Rough -In ❑ Final <br />❑ Firep ace and Chimney U Service ❑ Other _ <br />❑ APPROVAL —&-IrATIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ [orrections listed below MUST BE MADE before work con be approved. <br />❑ APPROVED FOR OCCUPANCY wbiect tc certdicate of occupancy. <br />'work listed below has been inspected and approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to p+rform inspection, <br />❑ CALL 259.8745 FOR REINSPECTION — 24 hour notice required. <br />I was present during this inspection. <br />.•dw6 <br />