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NOTICE <br />���.pn AND INSPECTION REPORT <br />e�ddress �„ _ �� _ <br />Cnnlratror_ �l.�bl� � �( y <br />Owncr_____—_/�4�� �y 1 /�,s-t. <br />�4 �� <br />�: _a�=_ _ <br />Requcsted by <br />TYPE OF INSPECTION REQUESTED <br />❑ �L�' pmf. No. <br />F9'PCfC: Pmt. No.� n MECN: Pmt. No, _ <br />❑ PLBG: Pm1. No.— _ <br />❑ Foatinp p F,�minp ' <br />❑ FoundaHon ❑ Dr�wall Nailin � Branch Circutl <br />❑ Concre�e Slab 0 ❑ Furnace <br />❑ Fircplace ond Chlmne � R�uph-In � Final <br />Y ❑ S�rvice � Olhcr <br />❑ APpROVAL ❑ PARTIAL APFROVAL �� <br />__ ❑ VIOLATION ❑ CORRECTION REQUIkED <br />❑ Correcf�om IistM below MUST BE MA(7E bc/orc work can be oppror;d, <br />❑ APPROVEb FOR OCCUPANCy wbject to certi8mte n1 acuponr.y, <br />� Work IisIM below hos becn Inspecled and opproved. <br />❑ Pleose comact insDeclor anE vronpe Icr appointmMt. <br />❑ Wo� not oble fo perlorm in•pection <br />❑ GLL 259-87�5 FOR REINSPCCTION — 2� Fwr notice required. <br />��Q�^ -� �'-- S���V ��,�--- <br />--����,_____ � Z� __ ---- _ <br />_. __ _ <br />----- ---- <br />- ----- <br />- <br />InsOector _____ ___..._'__ ___.'__ <br />—Dafe`�„'--�-F-- <br />I wos present durinp this Insperlion. <br />•�8F}�•G <br />