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c�crcn <br />� <br />t�01!'IC� <br />AND INSPECTION REPORT <br />c <br />Owncr--- � -- =y _/�1- i—'— � <br />Z � <br />Addre�z of buildina� � r'� .c il i---�—r� Y•—.-� L!�/w � <br />� 6'-�- � � ;:, �: <br />TYPE OF INSPECTION REQUESTED <br />�LDG: Pmt. No. � 3�G' ��' p I.AECN: Pmt. Na <br />]�EIGC: Pmt. No. ❑ PL�G: Pmt. No.. <br />❑ Footing � Fromin9 ❑ Branch Circuit <br />❑ Fcundotion � Drywoll Nuiling 0 Furnacc <br />❑ ConcreM Slob � Rcu9h-In ❑ Pinul <br />❑ Fireplaee and Chimney ❑ Service ❑ Other <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE Ml�DE befere work ean be approved. <br />❑ APPROVED POR OCCUPANCY zublect ta ecrtificatc of oceupancy. <br />� Work listed below has been inspccted and app•cved. <br />❑ Please tantact inspeeior and arronge for oppainlment. <br />❑ Was not able to per(arm inspeclir,n. <br />O CALI 259-8745 FOR REINSPECT"ION — 24 hcur notice rcquimd. <br />♦ �� � ' � <br />�n�ptttor—._�1_! 1-'' i� u.�� Date �' %/ .'! JG <br />� <br />1 wus p es qt'duriP this inspecticn. <br />.L'�w p //( / / �// " _.---_ <br />