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~ NOTICE <br /> AND INSPECTION REPORT <br /> evcrMt �/{j��-(� �/`1 <br /> � Address ✓� 0, „�� �1CJ�f�(c <br /> ��` �p� <br /> CantwcPor—� � �� <br /> Owncr <br /> Gcqucstcd by <br /> TYPE F ECTION REQUESTED <br /> �BLDG: Pmt. No. ❑ MECH: Pmt. No. <br /> ❑ ELEC: Pmt. Na. ❑ PIBG: Pmt No. . <br /> �,�--,/!��ooting [] Proming ❑ Bmnch Circuit <br /> �Foundotian � Drywoll Noiling ❑ Fumace <br /> Concrete Slob ❑ Rough•In ❑ Finol <br /> ❑ Fireplace and Chimney ❑ Service ❑ Other <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correttions listed bclow MUST BE MADE before work con be approved. <br /> ❑ APPROVED FOR OCCUPANCY subject to eertilicate of xcupancy. <br /> ❑ Work Iisted below has been inspectcd and approvcd. <br /> ❑ Plcase Contatt insF��or and orronge (or appointment. <br /> 0 Wos not oblo to perform inspection. <br /> ❑ CALL 259•8745 FOR REINSPECTION — 24 hour notice requircd. <br /> Inspecror Date <br /> I was present urinp th:s inspectian. <br /> .,.-�,.G ZU <br />