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� <br /> L,�, <br /> NOTICE <br /> AND INS?E N REPORT <br /> evcrclt � <br /> � Add�ess <br /> -,,.N�+'� ! <br /> Controctor � <br /> Owncr <br /> Requ�sted by <br /> 1�ECT_�!V REQUESTED <br /> • Pmf, No. ��p MECH: Pmt. No. <br /> ELEC: Pmt. No ❑ PLBG: Pmt. No <br /> ❑ Footin9 Q Frominp ❑ Bronch Grcuit <br /> ❑ Foundation ❑ Drywall Nailin0 ❑ Fumoce <br /> ❑ Ccncretc Slob ❑ Roueh•I^ ❑ Final � <br /> ❑ Fireplace and Chimney p Service ❑ O�her (y� <br /> APPROVAL ❑ PARTIAL APPROVAL � <br /> TION ❑ CORRECTION REQUIRED <br /> p Corrcctions Iiztcd bclow MUST BE MADE beforo work eon be approved. <br /> ❑ APPROVED FOR OCCUPANCY wb�ect to ecrtificotc of occuponry. <br /> ❑ Wark listcd below has been inspectcd ond opproved. <br /> � Pleam contoct Insptttor and a�ran0e for oppointment. <br /> ❑ Was r.c• oblo to pertorm Inspecticn. <br /> p CALL 259•8745 FOR REINSPECTION — 24 hwr notica �equircd. <br /> '� . .,. ... ..._ .. <br /> �'� a <br /> . <br /> i <br /> I <br /> 1 - <br /> i <br /> Ir.;pcctar__ DatC�/ " <br /> I w present durinp this Inspcetion� <br /> ..r^-6 " <br /> \•. <br />