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: ; i--„ . ,�. <br /> NOTICE <br /> �everrn AND INSPECT O REPORT <br /> Address�___�.� � <br /> �1 <br /> Conrmcror . �f�� <br /> Owncr _ . / <br /> Rcqucsfed by _ � <br /> TYPE F �JSPECTION REQUESTED � <br /> ❑ ULDG: PmL No.� lJ ❑ MECH: Pmt No.__ <br /> ❑ [LEC: Pml. No. ❑ PLBG: Pmt Nn._ <br /> �.Frwtinq ❑ Fmminp ❑ Bronch Cirr.uil <br /> ❑ Fourdotion ❑ Drywoll Nailinp ❑ Furnoce <br /> ❑ Concrete Slob ❑ Rouph�ln ❑ Finol <br /> ❑ fircploce and Chimney ❑ Servlco ❑ Other <br /> � p APPROVAL ❑ PARTIAL APPROVAL , <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrttllons lisfed bciow MUST BE MADE before work con Le approved, <br /> ❑ APPROVEb FOR OCCUPANCV sub�ect ro certifitate of acupancy, <br /> ❑ Work listed beiow hat bcen inspected and a��rovcd. <br /> ❑ Pleou tonlacf Inspector ord orranqe (o� oppolnlment. <br /> ❑ Waa not oble to perfo�m Inspectlon. � <br /> p C/�LL ]59•8745 FOR REINSPECTION — 21 I�our notice requlred. <br /> —_ _��eP--��� `�— <br /> ----- - -- ----- --- � <br /> ---- -- ���� ---�_ <br /> - - - � ------ -- _---- <br /> - --� --- ----- — _----- ------ <br /> -------- - - - _ - -- - ---- - ---- - --- <br /> InSGK10l�__ _ "__— _ _ _ _ �_.. ._-��Ofe��—�/_ �/./�� <br /> I was presmt durin� tMs Inspeclion. / <br /> •�'•fi '_ __"._ ._ . . <br /> (�� <br />