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NOTICE <br /> c�cren AND INSPECTION REPOit7 <br /> � l�ddress�/�� y'/ � _� /� � �y� <br /> � � � � w✓z—�-- <br /> Cantrcctor_ <br /> Owncr <br /> Repucsted by <br /> TYPE OF INSPECTION REQUESTED <br /> �LDG: Pmt No..���_ � 1dEGH: Pmf. Na. <br /> Q ELEC: Pmt. No. � PLBG: Pmt, No. <br /> ❑ Fcctinq �Fmmmg � BroncF Circuit <br /> ❑ FounJoticn � Drywoll Nailin <br /> g ❑ Fuma[e <br /> ❑ Concretc Slob ❑ Rough-In � Finol <br /> ❑ Fireploce and Chimncy ❑ Scrvice ❑ Oihcr <br /> ❑ APPROVAL ❑ PARTIAL APFROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Cartections Iislcd below MUST OE MADE ba(orc work [on bc approved, <br /> ❑ APPROVED FOR OCCUPANCY subject to cnrtificaie of occupancy, <br /> ❑ Work listed bclow hos been inspected ond apprcved. <br /> ❑ Plcose eonfoct inspector ond orrange for oppoiniment. <br /> '�Was not oble to perfcrm in>pcclicn, <br /> ��.ULL ?59-8745 FOR REINSPECIION — 24 hour notitc requircd, <br /> n�C �'�K. �� !'� — <br /> � �� � ���.L c� -- <br /> - ���i.�'G- �1��_�vS � <br /> -- -�.��-����'�v�� _ �;k�----- <br /> __�--�"��`—�^��_� O � <br /> ��-�—�U _���c_����I <br /> Inipettcr___� ✓( —__ Dat L� <br /> I was present during this inspetfio� <br /> ..�..� <br /> ��':ti <br />