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�� � �_�_-_____ <br /> IdaTICE <br /> ��,.,,.,, AND INSPECTION REPORT <br /> � � '� - 1 <br /> Address -?� j-'�� /� <br /> � <br /> Conirocror <br /> Owner�t,r� �� // .,,_ , <br /> �S' �,_,�_� <br /> RM�+ated by <br /> �/ TYPE OF INSPECTION REQUES'fED <br /> Lry�BLD6; Pmt. No. � � � � <br /> ❑ ELEC: Pmt, I.�u ❑ MECH: Gmt. No.�__ <br /> "�— O PLBG: Pmt No � <br /> G Footinp ❑ fromihp . <br /> p FwrMuHon . ❑ Brancb Circuit I <br /> ❑ Cancrete Slab O Drywoli Noilinp � Furnoce <br /> Q Fireplate and Chimne � Rou�h-!n �'Flnal �. <br /> _ Y ❑ Service ❑ Other_��_ <br /> d9CAPPROVAL �] PARTIAL APPROVAL � <br /> __ '�] �IOLATION ❑ CORRECTION REQUIRED <br /> �[1 CorrecNons listed beluw MUST BE MApE before work ton be oppr� ov�_ <br /> PPROVED FOR OCCUPANCY subJect to cert(flmte of occuponcy, <br /> p Work Itated below hos been (nspected ord opprovM, <br /> ❑ Please contoct insPector ond orronpe for appWnlment. <br /> ❑ Was not able to perform inspection, I <br /> ❑ U 59-8745 FOR REINSPECTION — y� hw� rwNce required. � <br /> -- — -- I <br /> � -� �(-1 — _ I <br /> � � <br /> _ — <br /> InfPectm � Dat � <br /> 1 wat presenf durinp this Inspection. <br /> '�•6 _ <br /> _ 1 <br /> l . . . — _ L„_— _ _ ,.___— — _. — . _ _ <br />