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�'���� � <br />, , ;. , <br />1�OOTIC� <br />evc.cn <br />AND iNSPECTION REPORT <br />� Owncr ��:, • �: . ` _ , . <br />i <br />Addrcss of bu:ldlpp�� � i s ��' •'..-Y-�--=�' � � <br />Ccn�mctcr t' �' /-..(:.< � � . <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: PmL Nn.— ❑ MECH: Pmt. No._ <br />❑ ELEC: Pmt Nc.�. `-� ❑ PL�G: Pmt No. — <br />❑ footing ❑ Frominp ❑ Bmnch Circuit <br />❑ Foundotion ❑RDqro�oll Nailin0 ❑ Furnacc <br />� Concrcte Slab �Rcugh�ln �Finol <br />❑ Fireplace cnA Chimncy Scrvicc iQ Othcr <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correc�icns listed belcw MUST 6E MAUE befare wark can be opproveJ. <br />❑ APPROVED FOR OCCUPANCY subject to ccrtif�catc of occuponcy. <br />❑ Wurk listed below has becn inspeeted and opFrcved. <br />❑ Please contoct inspecfor and arronpo for oppointmcnt. <br />❑ Was not o�ic ie yerform in�pceticn. <br />� CALL 259-8745 FOR REINSPECT�ON — 24 hcur notice required. <br />