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NOTIGE <br /> e�eren AND INS�CTION REPORT <br /> � Address L"��� !// �///// r/�/ _ <br /> ` —�--7— <br /> Controcror <br /> Owner <br /> Requc:ted by <br /> TYPE OF iNSPECTION REQUESTED <br /> �-IBLi�; pmt, No. f O�� �7 p MECH: Pmt. No. <br /> []�ELEC: Pmt. No ❑ PLBG: Vmt. No. <br /> ❑ F����� Froming ❑ Bronch Circuit <br /> ❑ Foundation Drywoil Noiling � Fumatc <br /> ❑ Concrete Slab ❑ Rough-In � Finot <br /> Q Fireplace ond Chimney ❑ $ervicc ❑ Othcr <br /> �APPROVAL [� PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed belmv MUST OF MADE belnre work con Ix ppprwed, <br /> ❑ APPROV[D FOR OCCUPANCY subject to mrtiticote of acupanty. <br /> [f Work Iisfed below hos becn inspect<d ond apProved. <br /> [J Please contact inspecbr ond arronge for oppoinlment. <br /> ❑ Was not oble to perlorm in�pec}ion. . <br /> � CALL 259-8745 FOR RUNSPFCTION — 24 hwr notice required. <br /> �L�""� —___—_!-� - � --[�- <br /> � I _— —��._ ____.—. _. _� <br /> v� � _—�_/jj—_._ <br /> _ _ - V <br /> __ _ ' —_ _— _— / <br /> Insprcror l� _ Dot � `� <br /> �r I wos presenf during lhis inspettion. <br /> .:..:.� f ._ ___—__ <br /> � <br /> �� <br />