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NOTICE <br /> evc.en AND INSPECTION REPORT <br /> � O1Y'I1lf_�_ __,(,L._u^'„^���C•�� <br /> Addres, of buildin�_�0___�l �a�ur <br /> Crntracror��y« � <br /> TYPE OF INSPECTION REQUESTED <br /> �,BLDG� Pmt Na7o/ • 7C p MECH: Pmt. No. <br /> ❑ ELEC: Pmt. No p PL6G: Pmf. No <br /> ❑ Fcatinp minp ❑ Bronch Circuit <br /> ❑ Faundotion Drywoll Nailing ❑ Furnace <br /> ❑ Concrete Slob ❑ Rcuph•In L Finul <br /> ❑ Fircplace and Chimncy ❑ Sxrvicc ❑ Othcr <br /> �yAPPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOL�TION ❑ CORRECTION REQUIRED <br /> _ L ❑ Corrections listcd bcl��r MUST BF MADE brfsc wark con bc apUrovrd. <br /> ❑ A?PROVED FOR OCCUPANCY subject to certiiitme cl occ�poncy. <br /> ❑ Work lisled below hos been inzpectcd and nppmved, <br /> ❑ Pleose ccnroct inspeclor ond arronge for appuiNmcnt. <br /> ❑ Was not ablc lo perfcrm inspccticn. <br /> ❑ CALL 259 07C5 FOR REnINSPECTION — 24 hour noticc rcquircd. <br /> _— <br /> '-��""�_�-������-. <br /> __— <br /> ----��--<t.�-� ----_--- <br /> -- _.�.���� �----�-��- <br /> ---7 „-�—/ �.�-_ _��.�_2_to.�.e . <br /> � � <br /> . , <br /> --- -��°'r'—�——---- ----- <br /> -- <br /> � ,.,meir, <br /> Inspedor �'�- L// ei—��__�.. Date s���7� � . . <br /> /I�1VQ�s P nt duriny this Inspcetien. . ��, , �, <br /> ;� <br /> �� (J li� �Y ' � <br /> "�.".'�°'6 �j�.��� . �_. <br /> 1' <br />