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i <br /> i <br /> 1 <br /> �'� NOTICE <br /> everen AND INSPECTION REPORT <br /> � Addresf � (�w � • , — <br /> ��",GL_ <br /> ConhoCror <br /> L / <br /> Owner__ <br /> Rnluahd by <br /> �.-� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No.��O S— <br /> ❑ ELEC: Pmt. Na.__ ❑ MFCH: Pmt. No. <br /> ❑ PLOG: Pm�. No.�_ <br /> ❑ Faotinp ❑ Froming <br /> C7 FwrWat7on ❑ Branch Circulf <br /> ❑ Concrefe Slob � �`�""'a1I Nailin0 ❑ Furnoce <br /> ❑ Rouph-In p Firwl <br /> ❑ Fireploce ond Chimney ❑ Scrvice <br /> - ❑ Oiher�___ <br /> p APPROVAL p PARTIAL APPROVAL <br /> _ _ ❑ VIOLATION ❑ �ORRECTION REQUIRED <br /> ��- <br /> ❑ Correctlons lisled below MUST BE MADE before work con be c <br /> ❑ APPROVED FOR OCCUPANCY sub�ect to cerfillcate ol xcu �r�� <br /> ❑ Work Iisted below has been inspectM nnd apFrovM. �My. <br /> ❑ Please contocl Inspecfor and orronpe /or appolntment. <br /> ❑ Wos rwf oble fo ycr(orm Inspeclicn <br /> ❑ CALL 259-8715 FOR REINSPECTION — 24 hwr natica reQulrcd. <br /> ___.._.__..��+-_.__—.__—._. <br /> _--_— _ _____._ <br /> -_-_-� E� -- _,.___�_Y����-_ <br /> --- --- -- <br /> -- --- - <br /> ---�.�_ _-�-- -- <br /> _-_�z�- --, ��_ - <br /> - -------- <br /> ------ <br /> -- -- � ('� <br /> - - - <br /> Insnttlo._ --- - --- �--- -� <br /> DO�G_� <br /> � I wof presenf durinp IMs Inspcction. � <br /> l <br /> �.Ii <br />