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c�cren <br />i�O1��C� <br />AND INSPECTION �tE°ORT <br />Owncr <br />�� T'FJs�/ / 7���__.1 —1-cy-,� t h N S <br />Addres; of building�`���Q�14'�p��� ' � � <br />Centrad <br />V <br />TYP[ OF INSPECTION REQUESTED <br />❑ 6lDG: Pmt. No._ ❑ MECH: Pmt. <br />❑ 'cl[C: Pmt No. �s��' �— ❑ PL�G: Pmt. <br />❑ Fouting ❑ Fmming ❑ Brcnch Circuit <br />❑ Foundation ❑ Drywall Nailing ❑ Furnocc <br />❑ Ccncrotc Slob ❑ Rcu9h-In ❑ Final <br />❑ Fireplace and Chimney Q'S��'�ce ❑ Other _ <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED _ <br />❑ Cerrections listed belcw MUST 6E MAD[ bcfore work can be apProved. <br />� APPROVED FOR OCCUPANCY subject to ecrtificaic of occ�Foncy. <br />� Wcrk listed bclow has becn inspectcd ond oVProvcd. <br />❑ Please eontatt inspector and armn9e fer appointment. <br />� Wos not c61c to perform inspectir.n. <br />❑ CALL 259-6745 FOR RP':�dSPECTION — 24 hour notice requircd. <br />6 Gt' s� r� ���� 1�� <br />