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everetl <br />e <br />❑ BLD6: Pmt. <br />❑ ELEC: Pml. <br />❑ Footing <br />❑ Foundoticn <br />❑ Concrctc Slab <br />❑ Fircplace and <br />NOTICE <br />AND INSPECTION REPORT <br />Address �`'' � Z �'�D / --.Q-+..r-+ <br />Controcror t < <L�..�-�-c.Ta-� <br />Owncr --�"�-G1 � J c.l�7 <br />Requested by <br />TYPE OF INSPECTION REQUESTED �� <br />�h1ECH: Pmt. No. / � <br />{J��LBG: PmL No.--..3�� <br />/__ <br />Chimncy <br />❑ Fromin9 p Bronch Circuit <br />❑ Drywoll Nailing ❑ Furnace <br />❑ Rough-In �inal <br />❑ Scrvicc p Othcr <br />APPROVAL ❑ PARTIAL APPROVAL <br />VIOLA7'ION ❑ CORRECTION REQUIRED <br />❑ Corrcctions listcd bclow MUST BE MADE be(ore work can be approved. <br />❑ APPROVED FOR OCCUPANCY subjecf to certificale of acuponcy. <br />❑ Work listed below hos bcen inspected arid opproved. <br />❑ Pleose contact inspector ond orrange for appointment. <br />❑ Was not oblc ro perform inspecticn. <br />❑ CALL 259-8745 fOR i2EIIJSPECTION �— 24 hour notice requircd. <br />Inspeelor <br />I was present during ihis inspettion. <br />��G <br />P I A; _ ��,'T�.. <br />, - � t �" <br />�ri I <br />