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r <br /> �IOTI�E � <br /> AND IWSPECTION REPORT <br /> rvcrptl �,� � <br /> � � �� � il ��— _ <br /> Address_� � <br /> C-,ntrada C" / � <br /> n / �i .� .� - � <br /> Owncr <br /> f.c�Uuested bY � <br /> TYPE QF INSPECTION REQUESTED � <br /> 0 g�p(; pmt. No.--7-�'J"��� ❑ MECH: Pmt. No.�—�' <br /> R( ELEC: Pmt. No_-L-�{�-- O PLBG: Pmt. No�� <br /> p FrominO O Bro^ch Circuit <br /> p Footirp � p�oll Noilin0 ❑ Furrwce •� <br /> ❑ Fwrdotion � Ra9h-In ❑ Fino� <br /> � Concrete Slab Othcr <br /> � Firryioce ond Chimney ❑ Scrvice ❑ <br /> �PqP ROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLAfION ❑ CORRECTION REQUIRED___ <br /> � CorreCtlons listed below MUST HE M.^�DE beforc work wn be ap;.roved. <br /> � ApPROVEO FOR OCCUPANCY cubl«t �� �e��'frQ°� °f «cupancy. <br /> � Work listed be�ow hos bcen insP�ted and aPPntment. <br /> � Please conlact inzpector ond arran9e 1or aPpo <br /> � Was not oble to perform inspec�ion. <br /> � CALL 259-8745 fOR REINSPECTION — Z� hW� �°���° rcquircd. ��/ <br /> -.-�% - . �-- ^ ���- 1(ti - <br /> �-��2 �.�vf__� --- <br /> ; ,- - <br /> .�+,�I�i�°a�i+►,'�;s� , � - <br /> . -- /ili/ ia �1��_Date ' � '7 <br /> InspecPor this inzpection. <br /> � I wos vresenl durinp <br />' _--_—_--��— <br /> �'5 _ <br />