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i� - � ;� <br /> I�OTICE <br /> everen AND INSPECTION REPORT <br /> � ' _ <br /> Address / � � � ��_ ;�4�� �+'L /�/'G4 <br /> av <br /> �o��.o«o�C�/�_,�.��—�-. — ��� <br /> Owncr ' //��� C � <br /> Requcsted by��_ <br /> TYPC OF INSPECTION REQUESTED <br /> ❑ �LDG; pmt, No. <br /> � [LEC: Pmt No / ��� ❑ MECH: Pmt. Na. <br /> ❑ Footin ❑ PLBG: Pmt. No.�_ <br /> g ❑ Froming <br /> ❑ Foundation ❑ Bronch Circuit <br /> ❑ Concrete Slob � �`�^ia11 Nailing � Fumoce <br /> ❑ Fireplocc ond Chimne � Rough-In [] Finol /� _ <br /> __�__ Y ❑ Service ❑ Other < .m–a�C�! <br /> APPROVAL ❑ PARTIAL �1PPROVAL <br /> VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lizted below MUST BE MADE be(ore wark cen be opproved, <br /> '] APPROVED FOR OCCUPANCY subject to ccrtificotc of i���pa��y ' <br /> � Work lisfed below hos been inspected ond opproved. <br /> ❑ Pleose tontoct inspector ond arronge for appoiniment. <br /> ❑ Wos nat oble to perform inspection. � <br /> ❑ CALL 259-87A5 FOR REINSPECTION —. 2q hour noticc required, � <br /> � � f-") CcDli� <br /> �-- , <br /> ---__ <br /> � <br /> _ —__ <br /> ------_ <br /> — —�_ , <br /> InSDector �_ Q-- <br /> �----_Dat� l< l?—�p <br /> I wos present during this inspection, <br /> �.c <br /> 1' <br />