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P!O'�I�E <br /> cvc��a 1 <br /> AND INSPECTION REPORT <br /> ' l , <br /> Oe�nv_. '' G�_._^__'��'—'— _—_—'__ <br /> �� �"�- -, <br /> Address of �uildinp_G, � � V �-�r�""�"'"`��'��-'� - <br /> Centmetnr �-�->"-Y-. - ,: r_�C._.L.-v� __ <br /> TY'PE OF INSPECTION RcQUESTED <br /> ❑ OLDG: Pmt Na__— ❑ MECN: Pmt No.— <br /> ❑ ELEC: PmL No. _ ❑ PLBG: Pmt No <br /> ❑ Footin� ❑ �iaming ❑ Branch Circuit <br /> ❑ Fuundatian ❑ Drywoll Nniling ❑ Fumace <br /> ❑ Concrctc Slab ❑ Rou9h-In ❑ Finol <br /> [J Fireplace and Chimnty ❑ Service ❑ Other___—_ <br /> r ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrc�tions Iistcd bclnw MUST �E MADE bcforc wark ean bc opProved. <br /> ❑ APPROVED FOR OCCUPANCY subject ro ecrtifieote of oeeupaney. <br /> [� Work listed bclow hos bcen inspccted and aDP�oved. <br /> [J Plcasc tontact inspcctor and armngc for appointment. <br /> ❑ Was not oblc to perform inspecticn. <br /> ❑ CALL 259-8745 FOR REINSPECTION — 24 hour nolicc rcquircd. <br /> ---��-� /J ��'•�=4��-�- <br /> ct-�-� >���nu�°. �-� _ <br /> _ wfiG/.��,O,�t.4_./���—L^i1� — <br /> . . � �/� 't.o'v�—yL2 C�n,G.�+,���'+/ <br /> �� <br /> — ��v ))) /` / — <br /> Inspector���'�'�"�/�-Q.""`� Dat �� �e' ��' <br /> _ I was�present du ing this inspcction. <br /> ..`�ti,s ----- ----- — ---� <br />