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I <br /> NOTICE <br /> ���,rn <br /> AND INSPECTION REPORT <br /> � Address�S�=s�f�'_�Q�------- ' <br /> Contracror � �� <br /> Z � <br /> a,��,�O�--�-��—� ---- <br /> Rrqucsled by____ <br /> TYPE OF INSPECTION R[QUEST[D <br /> ❑ BLDG: {'mt. Nu. ❑ MFCH: Pml. No. <br /> [j(ELEC: Pmt. No.��_ [] p1,8G: Pmt. Na. <br /> ❑ Foollnp �] Froming ❑ Bronch Circull <br /> ❑ F�undaticn ❑ Drywoll Nolllnp ❑ Furnacr <br /> ❑ Connete Slob ❑ Rouph-In ❑ Finol <br /> � Fircp�ace and Chimncy (] Service ❑ Other �����X(<-l� <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIULATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections Ilstcd below MUST OE MADE before wark ton be opprwed. <br /> ❑ HPVROVED FOR OCCUPANCY eub�ect to cer�ih<ate of acupancy. <br /> �] Work listed belnw has becn inspttfcd ond oDProved. <br /> ❑ Pleafe contoct insn«�or ond orrange far oppolnlment. <br /> ❑ Wof not oble lo per(orm Impttficn. <br /> ❑ CALL 259-8� FOJt REINSPECTION — 21 hour notice requlred. <br /> _s 5`__.- C� ---- �-'.� _s�-�'c��� <br /> - _ <br /> ,¢ _ _-- - <br /> �,�,�,���,,__ (�e � 6G=c S.m-�--__ooi�_�Z-�' <br /> I wos presenl Aurin9 Ihis inspcttion. <br /> �1� 1 <br />