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l�Oi1GE <br />evcren AND INSPECTION REP012T <br />� '�Q /? <br />ow��,_����_?.�'_�yz---C�-- _— <br />Addmss of 6uilding��Z=r —/-�' �=`�� <br />Controttcr_�1 � �� ' -S%,--��"'L <br />TYP[ OF INSPECTION REQUESTFD <br />[�LDG: Pmt. Nn.��� �-y �`� G p P�1ECH: Pmt No.— <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt Na. <br />❑ Foating 8-Framin9 ❑ 6ronch Circuif <br />❑ FcundaNcn ��rywall Nailin0 ❑ Furnocc <br />❑ Concrete Slab ❑ Rcu9h-In ❑ Finai <br />❑ Fireplatc and Chimncy ❑ Service ❑ Other <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />p VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correcliens listed belr.w MUST BE MADE before work con be opproved. <br />❑ APPROVCU FOR OCCUPANCY subject �o ccrti(icatc of acwpancy. <br />� Work li;ted bclew hos bcen inspeeted and apprcved. <br />❑ Plcase eontoet inspcctor and arran9c far appointment. <br />❑ Wos not oble to perPorm inrpecticn. <br />❑ CALL 259-87-05 FOR REINSPECTION — 24 hour noticc required. <br />�— . <br />Lz��e��r-���'�'''�y�-„� <br />during this Inspectian. <br />