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evrrefl <br />� <br />PIOTICE <br />AND INSPECTION REPORT <br />Addreu--_ �' _- ' � �._ /_ �. _..-. _ _ _- ._ . _ <br />Confmtror- �' '✓ <br />Owner � /,g(f C�r �. _ � __'. �� r�_ <br />Fequcsred LY--.-_---'-.--- - <br />__._.__"._— —___ __-_ <br />TYPE OF INSPECTION REQUESTFD <br />❑ DIDG: Pmt. Nn.___- — ❑ M[CH: Pmt. IJo.._'_'.____ <br />� ELEC: Pmt. Na_�i;.' p PLBG: Pmt. No.___ _____ <br />❑ Fartiny �] Fromin9 ❑ Bronch Cncuit <br />❑ Fnundntlon [] Drywall Nailing I:J Furnace <br />❑ Conoele Slob ❑ RouO��-�� Finol <br />❑ FireVlace ond Chimncy ❑ Scrvice � Other <br />�APPROVAL ❑ PARTIAL AVPROVAL <br />VIOIATION ❑ CORRECTION REQUIRED <br />- - � -- -__� <br />❑ Correcfions listed bclow MUST [iE MADE bclore wnrk can be aVP«�rd. <br />�j�APPROVED FOR OCCUPANCV sub�ect to certi(icale ol occupunry. <br />/(�Work lisled bclow hos uem InspttteJ ond approved. <br />❑ Plmse contact inspector nnd arronpe (or appointment. <br />[] Was not able fo perform inspecticn. <br />❑ CALL 259�8745 fOH REINSfECTION —?I hour notice requircd. <br />::!'—�_�`_1,�1�1%�'�---� /; ,: <br />---�� <br />`-�J_�-------�"-D_P—_�ldL-, o ) 6�"c�� ,' �' <br />_ - -' _. _ � �` - -- <br />�/y �,� � (,� <br />h,�.pec�o,---�f�-�C(�/�/",11---'`-=�eLL_.._oa�e_.. .=.��- _ <br />� b I wa� present durinp this inspection <br />�-G'T•�r; . ._ ... _ . _ <br />