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NOTICE <br />AND INSPECTION REPORT <br />e �retl � <br />� Address � /� ���� <br />Requcsted by <br />TYPE INSFECTION REQUESTED <br />❑ BLDG; Pmt. No. ❑ MECH; Pmt. No. <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br />�ootinp �7 Frominp ❑ Bronch Circuit <br />❑ Foundation ❑ Drywoll Noilinq (] Furnace <br />❑ Concrete Slob ❑ Rough-In ❑ Finol <br />❑ Fireplace and Chimney ❑ $ervice [] Other <br />�'APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Conection� lisled below MUST BE MAUE before work can be opprwed. <br />❑ APPROV[D f^P. OCNPl�NCY subject to certificote of acupancy. <br />� Work listed below has been ins0ected and approvcd. <br />❑ Pleaso eontact inspector and arrange iar oppointment. <br />❑ Wos not oble to perform inspection. <br />f� CALL 259-8745 FOR RE�NSPECTION — 24 hwr notice rcquired. <br />