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NOTICE <br /> AND INSPECTION REPORT <br /> rvrrctl �f'y <br /> � hddress _�o7 � � ��-L�'�-' �'� <br /> C�ntractoid��%"+' i' �-=--���� - -- <br /> Owncr _ <br /> Rrqueiled by " <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ ULDG: Pmt Na. ❑ MECH: Pmt No <br /> ❑ ELEC: Pmt No. �PLBG: Pmt No� <br /> ❑ Footinp ❑ Froming ❑ Bronch Circuit <br /> ❑ Foundation ❑ Drywoll Nailinq ❑ Furnacc <br /> � Concrete Slab X]'Rouph-In ❑ Finol <br /> ❑ Fireploce and Chimney �p $crvice ❑ Othcr_ <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correctinns Ilsted below MUST BE MADE Lelore work con be opprwed. <br /> ❑ APPROVED FOR OCCUPANCV su6�ect to cer�ificoro of occupancy. <br /> . ❑ Work Ilsled beiow has been inspected ond approvrd. <br /> ❑ Pleax contoct 7nspKlor ord nrronpe for oppointment. <br /> ❑ Was nof oble lo perform inspection. <br /> ❑ ULL Z59-87�5 FOR REINSPECIION — 21 hwr notite requircd. <br /> InsPector �LGL.�.r-�.�---' —Date__,1�,C_l�.�— <br /> I wos present durinq thls Inspeetlon. � <br /> 2F' <br /> �� � - - - - --- _ _ _._ _ ._. .- <br />