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851 N BROADWAY 2018-01-01 MF Import
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851 N BROADWAY 2018-01-01 MF Import
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Last modified
11/20/2018 2:00:02 PM
Creation date
1/24/2017 12:47:16 PM
Metadata
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Template:
Address Document
Street Name
N BROADWAY
Street Number
851
Imported From Microfiche
Yes
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RlOTICE <br />CVCfC11 AND IN5PECTION REFORT <br />� Owncr_ I ' I r' —._.__ .' <br />-aid.t_ __-G.�.�.�^ —_'. — <br />Addresz of buildinp�� � �=� �G+.�� � � �_ <br />� /�l'�'� r <br />Ccntractcr ��`7 ' <br />TYPEq OF` ,�INSPECTION REQUESTED <br />�DG: Pmt. No.L� �L_. [] MFCH: Pmt. No._—_ __ ____ <br />❑ [LEC: Pmt. No._. [] pLBG: Pmt. No.__. . _ . . . <br />. � ����9 ❑ Froming ❑ Branch Circuit <br />❑ Foundallon ❑ Drywoil Nailing ❑ Furnace <br />❑ CancrMe Slob ❑ Rough-In ❑ Finol <br />❑ Fireplace ond Chimncy ❑ Scrvice ❑ OtSer___. _ _ ._ . <br />�PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTICN REQUIR[D <br />❑ Corrections Iistrd bel�w MUST �E MADE before �work ean be approved. <br />❑ APPROVED FOR OCCUPANCY sub�ecf ro eertiliwte of occupanry. <br />Q Work listed bclow has becn inspectcd and approved. <br />❑ Plwse contotl inspector ond arronpe fur oppoinhnent. <br />❑ Was no; oble to perfortn inspection. <br />❑ C✓�Ll 259-8745 FOR REINSPECTION — 24 hour notice rcquired. <br />�.—vJ' <br />// � ��4 �. <br />
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