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WOTICE <br /> cvcrctt AND IN,iPECT10N REPORT <br /> Address i/ / <br /> �_7'�/�_�Rh'/,,,g J�, <br /> Controcror�S � t. �/�! <br /> Ownea�� ��i SO L�� <br /> —�_ <br /> Requcst��d by <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No._—_ <br /> ❑ ELEC: Pmt. No.�_ ❑ MECH: Pmf. No. <br /> ❑ Fwting ❑ PLBG: Pmt. No.� <br /> ❑ Foundolion ❑ Froming � Bmnch Cirtuif <br /> ❑ Cencrete Slab ❑ Dn'woll Nailinp ❑ Fwnate <br /> ❑ Firculace and Chimne�u Rough-In � Otlmr �/iv /' <br /> ❑ $eNite (YP_ o.. <br /> OVAL ❑ PARTIAL APPROVAL <br /> _ O VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Cortections listed belr,w MUST p -- <br /> ❑ APPROVED FOR OCCUPqNCY s bjectDto cerhfcaterof�occ pa� , <br /> pprovcd. <br /> ❑ Work listed be�ow has bcen inspected ond a Y' <br /> ❑ Plcase contatt insPecror and armnge for a Pnroved. <br /> ❑ 1Nas not oble fo perform f��pM��o� PPolntment. <br /> ❑ CALL 259-87q5 FOR REINSPECTION � yq hour notice rcquired, <br /> - �..._ � ,,., � - <br /> ---- - <br /> InSpeCtor �.--� <br /> �«_-l?�.?�. <br /> I wns present duriny this Inspection. <br /> .,r�..c <br /> .r . _ <br />