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�aoTicE ' <br /> AND INSPECTIOrt�( REPORT <br /> evrren � <br /> � t >�, -� �Pr� ,- i� i�_—� <br /> Nddress � � ` �'I!��aC' �-� .� <br /> Controcta y"/t� K�`�n `� - � <br /> OwneF � � �" /tS�t�"�� ' <br /> �:equecfed by <br /> TYPE OF INSPECTION REQUESTED � <br /> � BLDG: Pmt No. ❑ MECH: Pmt. No. ' <br /> ,r',�.ELEC: Pml. N�._� �/rs' S ❑ PLBG: Pmt. No , <br /> ❑ Foafinp I] Frominp ❑ Branch Circulf <br /> ❑ Faurdation �] Drywall Noilinp ❑ Fumoce <br /> � Concrete $lob � Rouph-In ❑ F��o� <br /> [] Pircplace ond Chimney ❑ Service ❑ Other <br /> ❑ APPROVAL ❑ PAR7IAL '^PROVAL <br /> r7 VIOLATION ❑ CORREGTIUrr REQUIR.ED <br /> �. <br /> ❑�C^rrections Iisted below MUST Bi MADE before work eon be opproved. ' <br /> ❑ APPROVED FOR OCCUPANCV subiecf to certificote of occupancy. <br /> � Work iisfed below has been Infpecttd ond opPrmed. <br /> ❑ Plcose c�nmd InsOMtor and ormnpe for nPpointment. <br /> � Wos not oble fo pertorm insptttion. <br /> ❑ CALL 259-8715 FOR REMSPCC ION — 21 o1�ce recNimd• <br /> �.�,;�rr�� �� � /� ('D c� _ , <br /> -- � <br /> � <br /> � <br /> � � <br /> i / I �All� D01C__.--�-�-_- <br /> I.upeGlol _�_ �I <br /> I� I wo! Present duNnp this Inspecti���n. I <br /> ._�c.fi _ _ —_—. _. __— I <br />