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C1 <br /> � <br /> NOTICE <br /> AND fNSPECTION/�REPORT <br /> everelt / � , <br /> � Address�— �`�� <br /> Contractar <br /> Cwncr— <br /> � <br /> f.equesled by <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ �LDG: Pml. No. ❑ MECH: Pmt No. <br /> [.1 ELEC: Pmt. No. _ ❑ P�BG: Pm1. No. <br /> [] Fcwlinq ❑ Fmmin9 ❑ Bmnch Clrcuil <br /> L� Foundation ❑ Drywall Nallln9 ❑ Furnace � <br /> Ll C�ncrete $lab ❑ Rouph.ln ❑ Final <br /> [] Fireplace ond Chlmney 0 Service O Othe <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections Ilsted below MUST BE MADE befare w�rk can be opproved. <br /> i ❑ APPROVED FOR OCCUPANCY sub�ec� lo certifimte oi occupancy. <br /> � Work IlsteJ bclow hos been inspected and approvcA. <br /> ❑ Pleau mntact insvecror and arranpe for aPPainlmcnt. <br /> � Was not a61e lo perform inspecficn. <br /> 1 �] CALL 259�87�5 FOR REINSPECTION — 2� hour notice rcquired. <br />� ___._.. __ .—_. . _. .. . <br /> - --��...� - -.� 1 _ <br /> - - _ .� _ - <br /> �-\+ --- <br /> � /��% ��_�A.ryTtJy1�—. __Dale_/-/_�.���_... <br /> I����"ri 'f J <br /> I sant dwinq ihis inspcction. <br /> �t.:•. � I.�ll(�)ri�j� �'I'!�'�'Cf�T� '� <br />