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r <br /> � <br /> �,, � � �� NOTICE <br /> AND INSPECTION/J REPORT <br /> �evcr�tl �� �/ �_�1=""� <br /> /�ddress_—g <br /> C�nbactor��'� <br /> Owner - ---- <br /> Rnquesled by_ <br /> c TYP OF INS ECTION REQUESTED / <br /> ❑ BLDG: Pmc No. ❑ MECH: Vmt. No. <br /> ❑ ELEC: Pmt Nn._ ❑ PLBG: Pmt. N . <br /> ❑ Footin0 ❑ Framinp ❑ Branch ClrcWt <br /> ❑ Foundalicn �] Drywa�l Noilinp ❑ Furnacc <br /> ❑ Concrete Slab ❑ Rouph-In �'final <br /> �rep�ace and Chimney ❑ Service ❑ O�her_ _ <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION `�CORRECTION R[QUIRED <br /> ❑ Corrtttions listed 6elow MUST GE MADE belore work can be nPP�a'�d. <br /> � APPROVE� FOR OCCUPANCY sub�ect lo cer�llicata ol occupancy. <br /> � Work listed below has been Inspected ond opproved. <br /> ❑ Pleose conmct imptttor and armnye for appointmenl. <br /> ❑ Was not oble lo perbrm 7nsDectinn. <br /> ❑ CALL 259-87�5 FOR REINSPECTION - 24 hwr no�ice repulred. <br /> I ___._-__._____ _._-.--- <br /> .-_.. - __ ..._�- -- ._ _ _ .. ._-__ � <br /> _-_. - _ _ -_ _- __ � . <br /> 1 <br /> '—.— <br /> __ + <br /> __ _-_ -_ <br /> } __ __ __ <br /> __-_�. _ .. �. <br /> —__. /. . . _ .4i1._. . .__. _. . . —_ . <br /> -----`—-- - -f-- - - --�-- ---- -- --- � �.J <br /> - ��- - - -- -- - <br /> ---_�__._.�---- -- �---- I <br /> I _� - I <br /> ---- -� - - !� .._ . _ . ... . .. - - - - - - --, <br /> ♦ Z <br /> ' InsPeUor - - - �-- <br /> __Date - <br /> / I wa� presenl durinp Ihis Intipeclian. - '- '-'--- <br /> � � <br /> ..�r.�i . . . ... . . _ _. . ._ ... _. <br />