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IVOTI�E <br />evcrett AND INSPECTION REPORT <br />� Address��� S_^���,��� <br />Contmctor C�i� 1 O ` <br />Owncr . C /_����1 <br />Requcsted by <br />TYPpE OF INSPECTION REQUESTED <br />.�BLDG: �mt. No.�Lf�. — i% <br />❑ ELEC: Pmt No.�_ ❑ MECH: Pmt. No. <br />❑ PLBG: Pmt. No.�__ <br />❑ Footing � Froming <br />� Foundaticn ❑ Bronch Circuit <br />❑ Concretc Slob ��'OII Nailing ❑ Furnacc <br />❑ Fireploce acd Chimne � Rough-In � p��o� <br />__ Y ❑ Service ❑ Othcr_�� <br />��4PPROVAL ❑ PAR'fIAL APPROVP,L <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />-- ---- <br />❑ Correttions listed bclow MUST DE M,4DE beforc work ean bc approved. <br />❑ APPFOVED FOR OCCUPAN'Y subject to certifiwte of eccupancy. <br />❑ Wark listed bclow hos been inspected and opproved. <br />❑ Please eontoct inspettor ond orronge for a�pointment, <br />❑ Wos nof ablc to p�rform inzpccticn, <br />❑ CALL 259-8745 FOR I2EINSPEQION — 24 hour notice required. <br />`"/VG��!/�� Datc_�G- `?% <br />� was present durin9 this inspeetion. � <br />^;; <, f <br />