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evcreM. <br />� <br />I�OATI�E <br />AND INSPECTION REPORT <br />Owncr—��C`�""/'`�'�^—.L_�.v i " C�I.L.� __ <br />Address cf h�ui�lding_) v - �K �'+'� <br />_ � //� _ . _ --i ! . ,_ _' <br />TYPE OF I <br />❑ BLDG: Pmt. No.�— <br />❑ ELEC: Pmt. No.���—_ <br />�N REQUESTED <br />❑ MECH: Pmt. No <br />❑ PLBG: Pmt. No.. <br />❑ Footing ❑ Fmming ❑ Bmnch Cirtuit <br />❑ Fccndation ❑ Drywoll Nailinp ❑ Fumace <br />❑ G^cuete Slab ❑ Rcugh-In ❑ Finel - <br />❑ Firepla[c and Chimney ❑ Scrvice ❑ Other_,�-t�__— <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORR[CTION REQUIRED <br />❑ Correetions IisieA belcw MUST BE MADE be(cre work tan be approved. <br />❑ APPROVED FOR OCCUPANCY subject ro rnrtificate of occuponey. <br />❑ Work listed below has bcen inspectcd and appraved. <br />❑ Plmse eontact inspector ond orronge for oppointment. <br />❑ Was not oble to perfarm in:pecticn. <br />� CALL 259-8745 FOR REINSPECTiO�J — 24 hour nolice required. <br />�.. /�1_ t.�. ,� <br />� '!', � �,' �%L:/ ; t;." _ J <br />_ - �.. - <br />i_ <br />� 2 j lC <br />oa te -� <br />I was prc,.✓ent du ing this iq:pcction. -— � <br />1 1� .��-���;-�..� <br />