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C <br />I�OTICE <br />rverclt AND INSPECTION REPORT <br />� `� ` / <br />Ownrr_' _' �� �_.. c��-G-`'$' _, _ <br />Cq_' _ -_.__ ..____.' <br />Addresti af buildi.��_ JiZ.n '` � �_ �-' <br />- / - �v_=�'�L' .. ��^'-�_"._ <br />_ � . � . /�- <br />_ -_"____— , i --___'_ <br />--___ ___ <br />_ ___' _—: --__--_'— _._-_ __. _„_ __ _. <br />TYPE OF INSPECTION REQUESTED <br />❑ P.LDG: Pml. No.-------- / � <br />�FdECH�. Pml. No._��i�� '-7L• <br />❑ ELEC: Pmi. Nr.._'__ __ [I PlBG: Pmt. N"__'_ <br />I7 Fooling ❑ Framing � - �-'�_�--�- <br />❑ Fcundnfir.n ❑ Cr.���`�� Circuil <br />❑ C��nnetc Slab ❑ Drywoll Noiling 1YFurn.;re <br />❑ Rr:u9h�ln �] fin-1 <br />C� Fv�placc and Chimnry ❑ Srrvicc ❑ Oth,r_ ___ <br />____ __ __'— __...-_'-_'____'_-__.__.'_—_ ._ <br />._—.____ -___- <br />�APPROVAL `__`°-_-_---=-- <br />❑ VIOLATION U PARTIAL APFROVAL <br />____ __ _ ❑ CORRECTION REQUIRED <br />❑ Conettivns listed br.lnw MUST f3E MACG bcfcrc w�. k can bc oPPnn�cd.=�_" <br />❑ APPROVED FOR OCCUPAIJCY subjcc� Io tcrti(Ic,:ic c! r.ccupa�cy <br />Work lislcd bclny has bcen insptttrd and onCr.��d, <br />Plcasc copfucf Inspccicr nnd crn�npc (c� op�uinln�,��i <br />❑ Was no� ablc fo perL.rm in�prUirn. <br />❑ CALL 259-8745 FOR REWSPCCTIGtJ -- Zq h�;u n bc� rcyuk.�d. <br />Insncctur��_�� �. � / -�r./ . - /' <br />7- _. ___ Do1F.Y�.�/_���' <br />I wcs pnsenl during Ihis in��pretic�.n./ 7�� <br />�"C°.!�• o <br />