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�H <br /> � �? ' NOTI�E � <br /> AND INSPECTI9N REPORT <br /> c�rrrtl � <br /> � Addrex__ '�/ O •J —_7���rpdSLC� —_— . <br /> L ' <br /> i <br /> ConrmctM �J <br /> Owncr ��� � A"�� — — I <br /> P:equr,ted by -- <br /> TYPE OF INSPECTION REQUESTED � <br /> '] BLDG: Pmt. No� O MECH: Pmt. No._ <br /> ❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br /> ❑ Footinp ❑ Frominp ❑ Branch Circuit <br /> (j Foundation ❑ Drywall Noiling ❑ Furnoce <br /> ❑ Conaete Slob ❑ Rouph-In ❑ Finol ' <br /> [] Fireplote ond Chimney ❑ Service ❑ Oihcr -- <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> VIOLATION ❑ CORRECTIOIJ REQUIRED <br /> ❑ CorrxNons lisred beirrw MUST BE MADE belore work con be opprwed. a <br /> p APPROVED FOR OCCUPANCY subjed lo certifiw�e of occuponty. <br /> ❑ Work IisteC' below has been inspected anJ apProved. �� <br /> ❑ Plcose cont.�ct ins0�ta ord arronpe for appoinfinent. <br /> ❑ V/az not ot;k to pe�orm inspection. <br /> ❑ CALL 259-U7�5 FOR REINSPECTION — 24 hour notice required. <br /> - ---'�-�'��- �l� - - '' <br /> I <br /> - ---- - i <br /> - - -- � <br /> - - - � <br /> - - ----- - -- ----- � <br /> �-- --- -- - -- . --- ---- � <br /> -, �,( � <br /> In4r,tt: i. �'�..��� � Dare�. .!-_.7 ��-_ , <br /> I wGs present durinp lhis inspeclian. <br /> ..��.. t� .. _ . _ .. . . . . _ . . _. . <br />