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NOTICE <br /> AND INSPECTION REPORT <br /> everrtl ^ <br /> � Addresa ���� ��'�'r �---- <br /> �cntmclor � � ��c-- <br /> Owner_ [�-���L ���� <br /> Requ!sled by � <br /> c T/Y,PE 7O�F�7IN�SPECTION REQUESTED <br /> [�BLbG: Pmt. No.1�.5?�— ❑ MECH: Pmf. Na_— <br /> ❑ ELEC: Pml. Na_ ❑ PLBG'. Pml. No. <br /> � Foofinp ❑ f raminp ❑ Bronch Ciruit <br /> ❑ Foundalion ❑ Drywall Nollinp ❑ Furnace <br /> � Concrrtc $la6 ❑ Rouph-In ❑ Finol <br /> ❑ Fireploce ond Chlmncy ❑ Scrvicc ❑ Othcr <br /> ❑ APPROVAL � ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � <br /> ❑ Correcflons Iisted below /AUST BE MADE belore work can be apprwed• <br /> [] APPROVED FOR OCCUPANCV subjcct to ccrtificate of accuponcy. <br /> [] Work Ilsfed bclow has been Inspttted a^d a0proved. <br /> � Pleose confact inspeclor and arronqe for oppolnlment. <br /> ❑ Was not oble to perform in�pection. <br /> p �1.L 259-87�5 FOR REINSPECTION — 21 hwr natice requlred. <br /> � ' ��------ --- - <br /> -_-��- �� -u"`-�� <br /> , _ - <br /> -_ -- <br /> - -- - --/�c� ,�, <br /> __ _-_ <br /> � �.�C - Date_��--� <br /> Insp��clor_- — <br /> I wos Dresent durin0 this inspeclion. <br /> ..[,4n�li . _ _ _._ . _ __' _ _ <br />