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i <br /> � <br /> NOTICE � <br /> AND INSPECTIOPI REPQRT <br /> fVMC�I <br /> � / / � <br /> Owncr___-_�--..��:C�-���=���Ls-+��___--'___' <br /> i <br /> Address of building— / �� 'r J ''—`�'�"=���,--.- <br /> � �.�"�� <br /> ��tL/7�Ci� � <br /> Cnntroctor �_. ' <br /> 7YPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt No.— ❑ MECH: Pmt. No. <br /> ❑ ELEC: Pmt N�.,-- �PLBG: Pmt. No.��- I <br /> ❑ Footing � Froming ❑ Bmnch Circuit (i <br /> ❑ Fwndotion ❑ Drywall Noiling ❑ Furnace � <br /> ❑ Concrete Slob fk Rcuflh•In ❑ Fina� <br /> ❑ Pireploce nnd Chimnry �Q Senire ❑ Other ----- <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correcl�oos listed bclow MUST BE MADE belorc wurk can be approved. <br /> ❑ APPROVEO FOR OCCUPANCY subjed to wrhlicatc cf acupancy. <br /> CxWark lisled belcw has becn inspcctcd and approveA. � <br /> �j] Please contoct inspector and arrm�ge for opP'�intment. <br /> ❑ Was not able M perform irepecticn. <br /> � CALL 259-8%45 FOR REINSPECTION — 24 hour nolir.e reyuired. <br /> _����w __��--- - --�-- ; <br /> ------- - - I <br /> ------ - � <br /> f/��� �� <br /> InsPector�-/� �"�"'��"`� --Dote ,- <br /> I was present during Ihis insprclia� <br /> �e e <br /> � <br />� -' - ` - - -- - --` - -- -� � <br />