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q -�' r���i�� <br /> � AND INSPECTION REPORT <br /> c�cr�n �D / �o � <br /> � Address�/J — � <br /> ConlmCtor.�I `�`"— <br /> Owncr <br /> __----__ <br /> Requcstcd bY �____— <br /> TYPE OF INSPECTION REQUESrED <br /> �i. �a� � MECH: Pmt. No.��— <br /> [� DLDG: Pmt. Nn. � PLBG: Pmt. No..— -- <br /> � ELEC: Pmt. hlo._— — � pronch Circuit <br /> ie—�(Ql�iing <br /> � Footin9 � prywall Noilin9 ❑ Furnacc <br /> [] Foundolicn � Rough-In ❑ Final <br /> � Concrete $lab Scrvicc ❑ Othcr_----- <br /> . � Flreploce and Chimncy _� ___ --- <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOl1�TION ❑ CORRECTION REQUIRED <br /> —__ ' <br /> ❑ Corrcctions listcd bclow MUST BE MADE bcfcrc work can bc aPPrwed. <br /> p APPROVED fOR OCCUPANCY sublect to ecrtifitotc o( occuponey. <br /> � Wark Iistcd bclow hos bcen inspectcd ond oP�Pn`m nt. <br /> � Pleose contact inspector and arran9e (or app <br /> � Was not able to perform inspcclian. 24 hour naticc required. <br /> ❑ CALL 259-8745 POR REINSPECTION`_z� / <br /> _ �4��-_.�'�_m- _- <br /> __ --- _ _��� <br /> _. �_ z _ . <br /> ___._____ _' ---_= Dat — <br /> insnccior lhis inspeeti <br /> I was present during <br /> __—�--- <br /> •'��^...fi . ._—'____—'_.____ <br />