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�or�c� <br />AND INSPECTION REPORT <br />Address I ' / � - r <br />Confroc(or�T�1 l ' ( j�Cj �� �` T���'� <br />Owner— �1 I n � I S <br />l <br />Requested by <br />TYPE OF INSPECTIUN REQUESTED <br />.LI � �G: Pmt. No. �,%� � MECH: Pmt No._ <br />❑ ELEC: Pmt. No.�� � pLBG: Pmt. No.�__ <br />❑ Footing ❑ Froming � Bronch Circuit <br />� Faundotion ❑ Drywoll Nailin <br />❑ Concrete Slob 9 ❑ Fumoce <br />❑ Fireplace ond Chimne � Rough-In � pi�a� �IN'� <br />--- V �_- S°rvi°u __ '�Olhcr ( A,� <br />�APPROVAL ❑ pARTIAL APpROVAL <br />_ ❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed bclow MUST BE MADE before work wn be opproved. <br />❑ APPROVED FOR OCCUPANCY subject fo certi(iwfe of occupa��y, <br />❑ Wark listed bclow hos bcen inspctted and opproved. <br />❑ Pleose contocf inspector ond orronge far oppoiniment. <br />❑ Was not o61e to perform inspection. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour notiea required. <br />I Wos ptc5enl during Ihis in5pcction. <br />"�:�^•6 <br />