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�t �''� NOTICE <br /> AND INSPECTION REPOItT <br /> evcrcll / <br /> � Owner_�`'17t1R`r"1' .—�''' .�n�-. <br /> � <br /> Address of 6uildingT I� �Q'--- <br /> Contmctor_�a—•—`--`� ------ <br /> TYPE OF INSPECTION REQU[STED <br /> � BLDG: Pmt. No. ❑ MHCH: Pmt. No._ <br /> ,��.EIEC: Pmt. No.�v � 3"` ❑ PLDG: Pmt No. <br /> � p����y ❑ Proming ❑ Br�nch Cirwit <br /> ❑ Foundation ❑ Drywall Nailing ❑ Furnoce <br /> ❑ Convetc $lab ❑ Rr.ugh-In ❑ F��a� <br /> ❑ Fireploce and Chimney �Scrvice ❑ Other _— —_ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION p CORRECTION REQUIRED <br /> ❑ Cortections lisfed bdr,w MU:T OE MADE befcre work can be opproveJ. <br /> ❑ APPROVED FOR QICUPANCY subject to ccrlificatc of occupancy. <br /> � Wark listcd bclow has bcen inspecleJ and approvcd. <br /> � P!vse wnPott inspCclor and arronpe for aFpointmcnt. <br /> - �❑ Wos not obic to perfarm in=pccticn. <br /> ❑ CALL 259-87A5 FOR REINSPLCTION — 24 hour nutice rcquired. <br /> 262�=.r��a-�=--1�1-Q-'�3.5-4�-�L�- -- <br /> U <br /> __...-.----�- -- <br /> -- ,,� _ �- - ,, -- <br /> -- -'�, , i��.. �, �,<' — ;'�. <br /> Inspcttcr_—'— ' Datc '-f <br /> ' I was present durinp this Inspeeticn. <br /> a��.•e — <br />