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� ' � NOTICE <br /> r�rrpry AND IIV$pECTION REPORT <br /> � I '".,b <br /> Addrc:s_ "�' , <br /> � _�- ' �_�i ' ,.. .-I <br /> �� <br /> Cuntmctor � L C� f — --- _ <br /> r <br /> Owner _ <br /> __.. __ . � c�ue9ted 6y . <br /> -TYPE OF iN$PECTION REQUESTED - <br /> :.i 6!�: Pme. No.����— <br /> [i ELEC: Pmt No.�—_ ❑ MECH: Pmt. No.`��_ <br /> (�7 Fom�rq .$QLBG: Pmt. No �- JO� <br /> ❑ Framinp "�— <br /> � ! Fourvlollon ❑ BroncFi Clrcyif <br /> I; Co��ra $lob ❑ D�'»'oll NotBnp p Furrwce <br /> ..—In'��renloce ond Chimrroy d RO1�h.ln �o� - <br /> -- O Serv7ce ❑ Other <br /> APPROVAL p PARTIAL APPROVA <br /> ❑ VIOLqTION ❑ CORRECTION REQUIRED <br /> \ ❑ Corrccqo�� listed below MU57 BE MADE bNore--���- ' � -. <br /> '��f�` APPROVfD FOR OC[UpANCY work con ye a�, , . <br /> �fi7 Wak Ilsted bel �'blecl� to certificole o} , . .. <br /> fJ Please °w hos 6een Inspctited and a �POMy. <br /> contoct �nspector and orron �roved. <br /> L7 Wa� not o61e to perlorm ins � �Of a�ntmerM. <br /> O GLL y59-8715 FOR REINSPER N _. 2� 1�,, <br /> .ur �titics Ieqy7rtd. <br /> /�t� ' —�_ <br /> � -_'--��. <br /> —�_'—___—__�--�_ <br /> InspCYfor —__�_ - — <br /> � "'y <br /> '�---Dot a7 � <br /> I wac resen inp thl! inspgpl <br /> "'f�..�.�fi / <br /> —�� <br /> 1 <br /> � —'_ _ — _ �—_ _ ' _. _ __'— —�n.. - <br />