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evc.rn <br />� <br />NOTICE <br />AND iNSPECTION REPORT <br />_�/ rt:,�__ <br />Qtl'nCr__ - <br />� <br />Adeross of bWieinp � S 7i %/�Zrd,���/z� <br />!� ., . � n . .. _ i <br />7YPE OF INSPECTION REQUESTED <br />(7 BL�: PmL No. MECH: Pmt Na. <br />❑ ELEC: Pmt. No �PLBG: Pmt. No._LOZ,Y-�(.z <br />❑ Footirtp ❑ Frominp ❑ Bnnch Grcuit <br />❑ Fcvndotion ❑ Drywoll Noilinp ❑ Fumacc <br />❑ Crncrete Slob Fcupb?n � Pincl <br />❑ Fireplace ond Chimney Srrvice ❑ Othcr___—_._—_ <br />❑ APPROVAL ❑ PARTIAL APPRO'JAL <br />❑ VIOLATION r„�p�CORRECTION REQUIRED <br />p Correcticns listed bcicw MUST BE MADE bcf�re work con be opprwed. <br />❑ APPROVED FOR OCCUPANCY subiect to certificote of acuponcy. <br />❑ Work listed belew has been inspecfed ond apprwed. <br />p Please contoct inspector end anonpe for eppoimmmt. <br />Qjyqe not able to perform inrpection. <br />�/'� CALL 259-8745 FOR REINSPECTION — 24 hour notice requited. <br />I was oresent duriny this <br />.�Y�• a <br />� <br />