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�S <br /> �- �oToc� <br /> AND INSPECTION REPORT <br /> evcrett `� <br /> � �- D <br /> Address �� �- � - <br /> r <br /> Controctcr <br /> Owner_ <br /> Rcquested by <br /> TYPE OF INSPECTION R[QUESTED <br /> ❑ DLDG: Pmt. No. ❑ MECH: Pmt. No.� <br /> �]�ECEZ`:�Pmf. No. ❑ PLBG: Pmt, No, <br /> ❑ Foo�ing ❑ Froming [_,l Branch Circuit <br /> ❑ foundotiun ❑ Drywall Noiling ❑ Furnace <br /> ❑ Concrctc $lab ❑ Rough-In G(3-Firtai- <br /> ❑ FireO�o�c and Chimncy ❑ Scrvitc ❑ Othcr__ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correetions listed below MUST �E M�1DE befcre work eon be o��;xo��cd. <br /> ❑ APPROVED FOR OCCUPANCY subjett ta ccrtificotc of occupanp�. <br /> ❑ Work listed below I�ac bcen inspectcd ond oppraved. <br /> � Pleuse conroct inspettor and orrange for oppoiniment. <br /> ❑ Was nat able to perferm in<pecticn. <br /> ❑ CALL 259•8745 FOR REINSPECTION — 24 hour notice required. <br /> '�� % ��9s,� <br /> Insntttor�`�='�-ii Dot� -L.(O`�O ---... <br /> I wos pres^nt during this inspeeticn. <br /> .�[""e�G _ .__ _ <br />