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� NOTIGE <br /> � ' 3 AND INSPFCTION REPORT <br /> rverrlt <br /> � Address_�y /�% __��/l/ __ <br /> Contmcfor � <br /> Owncr_ ____'_' _._' L�LI�_� � <br /> Requesfed by __.___ <br /> TYPE OF INSPECTION REQUESTED <br /> '] OLDG� Pmt. No._ ❑ MECH: Pmt. No. <br /> ❑ ELEC: Pmt. No. [] pLBG: Pmt No.- 9 O <br /> [J Foofinp �] Fromin9 ❑ Branch ClrCulf <br /> ❑ Foundolien ❑ Drywnll Nallin9 ❑ Fumace <br /> ❑ Concrete Slob /�-Rouph�ln [] Finol <br /> ❑ Fireploce and Chimncy ❑ Scrvi<c ❑ Olhcr <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ' ❑ Correctbm li:red helow MUST DE M/1DE befare work can be opprwed, <br /> ❑ APPROVED FOR OCCUPHNCY sub�ecf ro certilicote al occuiwncy. <br /> ❑ Work Ilfted belnw has been InsnK«d ond anproved, <br /> ❑ Pleofe contacl Inspecfor and arranpe far onPoinlment. <br /> ❑ Was nol able fo perlorm In�pccfion. <br /> ❑ CALL 259-B715 FOR REINSPECTION — 4� hwr notice requlred. <br /> _.____. ________.___________ � <br /> .___ _.. _. __- —_._— I <br /> —._ _.__._._ __ —_ ._._ _ <br /> _ ____ __ __ __ <br /> —___ _ ____ _..- . <br /> - _�.. _ .__ _. _. <br /> _ __ <br /> �._—. __ - I <br />'I ' _ _. _ ___ . _. <br /> .. /` _. _. ___- _ _ -J�R�_— <br />, i�sn«n, ._ _. �� -- � -- <br /> —Dore.��— <br /> I waf present Audnp this InspecHon. <br /> I '�r'fi <br /> P <br /> — _ —y��� ._ -- <br />