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� <br />,` <br /> i <br /> NOTICE <br /> AND INSPECTION REPOkT <br /> rverrtl <br /> � Address ��� -� 1 �j�e n1�' !- v �'�, <br /> Conirattw_�L'� i��) <br /> ow„�._ �i�Y.er �I�< � <br /> Requested by_ <br /> , TYPE OF INSPECTION REQUESTED <br /> � I + ��� -ti, ., . O BLW: Pmt. No. � MECH: Pmt. No <br /> � s '• _ (,-�� , � ELEC: Pmt No. � PLBG: Pmt. No <br /> ,_,�. � ' f <br /> � ' �i t.`� � ❑ Footirp p Frominp ❑ Bronch Circuit <br /> � ❑ Foundotion � Drywoll Noilinp ❑ Furnace <br /> '�` � _ . �� � . � �_ � � Concrete Slab ❑ Rwph-In ❑ Finol <br /> ��' '�� � - - ❑ Fireploce ond Chimney ❑ $ervice ❑ Other <br /> � <br /> N "_ <br /> .�:� �(�"�APPROVAL ❑ PARTIAL APPROVAL <br /> p VIOLATION ❑ CORRECTION REQUIRED <br /> � CorrecNons listed bciow MUST BE MADE before work can be apprwed. <br />� p APPRUVED FOR OCCUPANCY sub�rct ro ceruficote of occuponcy. <br /> ❑ Work listtd below hos been inspated ond apprwed. <br /> ❑ Pleose contact insD�tor and orranpe for appointment. <br /> 0 Wos not able to perform Inspection. <br /> p CALL 259.87�5 FOR REINSPECTION — 21 hwr notiw rcquircd. <br /> _ _�-:' . - ' I-� <br /> '`' � \ <br /> 1, � � � - , y .\ —_ _ . _ ' <br /> � � s � — — <br /> � �� E �� <br /> $��, .!��TD�:i� .. �f �. . <br /> _��'1l. _ '1.,]f::��" ��'. <br /> I�7i11:,• �� <br /> .l"•:� . . . ; . � <br /> � y.-� � f..�C' � . . <br /> � - � � - <br /> _ `J <br /> .1'.�..--,: F � . _� <br /> �f '��'i � � . <br /> �ai4 , . . � � � <br /> �..�-,�` � .. ., " t _ — <br /> I ZV <br /> In50CC�of �p� <br /> I was present durinp this inspection. <br /> '�6 <br /> .•f x s <br />� ; �� ,=.��a ,u w �:, � � I <br /> ,. _ __ __..______ <br /> , „ i�;x=•�. <br />