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i � <br /> ���6 NOTICE <br /> � AND INSPECTION REPORT <br /> �vrren /n/�p�' • <br /> � Address ��S�y <br /> i / <br /> ConVacror A <br /> Owncr ���L—. <br /> RequPsted by __—_ � <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No� ❑ MECH: Gmt. No. <br /> ❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br /> ❑ FaoNnp � Framinq � Bmnch Circulf <br /> ❑ Foundation ❑ Drywall Nolllnp ❑ Furnace <br /> ❑ Conacro Slob ❑ Rruph-In rn� - <br /> ❑ Fireploce ond Chimney ❑ Scrvica � Olhcr__ <br /> � APPROVAL ❑ PARTIAL APPROVAL <br /> VIOLATION ❑ CORRECTION REQUIRED <br /> p,Correctlonf Iisted bclow MUST BE MADE before work tan be npprwed. <br /> f1f"APPROVED FOR OCCUPANCY �ub�ecf lo cerllRmte of occuponcy. <br /> �Q.j'Vork Ilsted below has been inspecfed ond opproved. <br /> ❑ Please contocf insDKlor ond arronpe for appointmenf. <br /> ❑ Was not oble to perform inspecfian. <br /> ❑ CALL ]59-87�5 FOR REINSPECTION — 21 hour notice rcquired, <br /> � C��lL�-�6�'_i---- <br /> -- <br /> ��_ dkl"-'��-�-���--�te�-SS.�L.��:.------ <br /> ----- -_l�Jr1�'�f�ie -�-��`L�'�- <br /> -------- -- -- --- - ----, <br /> _ I <br /> _------- --- - ----- -- ------ I <br /> _ _ - - - -__ _ ---- ------- I <br /> - - / - --- --_ --/}-�----�-),t/.�(- <br /> I � . InspKfnr_ . .. . _'i�I��—.Dafc_ii�_l.L_ <br /> I wos prrsenl durinp Ihis Inspctlion. <br /> ^�t,p"�� .. .. ._ . . _. _ _ ___ ... . —____' '_. "___' <br /> r <br />