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� <br /> � <br /> l, <br /> NOTICE <br /> cvrrcll AND INSPECTION REPORT , <br /> � Address_� Y �G`7 �lL'�i/�� '�'/�✓ �', <br /> ConKo[to"�r—C—'JBk�/1 � <br /> Owner-/'—s�sL—"7— 7`�i���j r <br /> � <br /> Rcq�ested by I <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No. ��7 G"� -� p MECH: Pmt. No._ � <br /> O ELEC:. Pmt. No. ❑ p�BG: Pmi. No <br /> �°Df1�0 ❑ FmminO 0 Brenth Circuil <br /> [7 Foundotien [] Drywall No(linp ❑ Fumote <br /> � Concrete Slob ❑ Rwflh-In ❑ Finol <br /> c ❑ Fireplate hd Chimney ❑ $ervice Q Othcr <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> `_ VIOLATION p CORRECTION REQUIRED <br /> [] Corrcchons 6sted below MUST 6E MADE be(nre work con be opproved, <br /> ❑ APPROVED FOR OCCUPANCY aubject to certificate of xcupancy. <br />� ❑ Wo.k listed below has bcen Inspected and opproved. <br /> ❑ Pleose contoct inspecfor and orronpe for oppointment. <br /> ❑ Wos not oble to perlorm inspection. <br /> ❑ CALL -'-''45 EINSPECTION — 24 hwr notice required, <br /> r � <br /> i� __— __'_ __ . <br /> i <br /> I inspector � Dot <br />� <br /> I <br /> 1 was presenf dutinp Ihis inspecNon, <br /> ^�:.c <br />� <br /> 1.�_� � jv..�.. . . . � . _ _ <br />