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J <br /> l c, �� �Q�r�cE <br /> AND INSPECTION REPORT <br /> rveren <br />� � Addre-ss� � ct�'!�' <br /> � <br />� Ccntra[ �'� <br />� Cwntr <br />.. Fcqur,ted by - <br /> TYPE OF I�?ECTION REQUESTED <br /> ❑ 6LDG: Pmt. No. J �� ❑ MECH: Pmt No. <br />� p CLEC: Pmt No. p PLBG: Pmt No. <br /> [] Footinp ❑ Framinp ❑ Bmnch Cirtuit <br /> � Foundotion ❑ Drywoll Noilinp ❑ Furnate <br /> ❑ Concretc Slab ❑ F.ough-�n p Finol <br />'I ❑ P'ueplace nnd Chimney ❑ Service ❑ Other _ _ <br /> i APPROVAL ❑ PARTIAL APPROVAI <br />� ❑ OLATION ❑ CORRECTION REQUIREb <br /> � ❑ Corrections listed bel�w MUST BE MACE befcre work ean be opprw¢d. <br />�i p APPROVED FOR OCCUPANCY subject lo ccrtificate of ocwpancy. <br /> [] Work listed bclow has bcen insvected and cpprcved. <br /> ❑ Pleau contoct inspecbr ond arronpe �or oppolntment. <br /> ❑ �Yos not able to perform inrpection. <br /> � CALL 259-8745 FOR REINSPECTION — 24 hour notite required. <br /> -----16�� - - <br />� � — - - --- — - —_ . <br /> � <br /> ------- -- - - . ._. _. <br />, � ----�-- �� -- -- - - <br /> I — -- � �- - —. — <br /> --- <br /> InsPccicr _ ---- Dotc�LLJ�-��� <br />� I wos O��sent durinp this Insptttion. � <br /> �"F -- <br /> I <br />