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NOTICE <br /> AND INSPECTION REPORT <br /> cvcren /� / <br /> � Address �—i[i-y 1 "'t�.,;'`"c-_`cl-�'� <br /> Controctor_ /G`��` � ,�� <br /> ow��r ���4 S%` �� c� <br /> ecques�ed by <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pm�. No. ❑ MECH: Pm1. No. <br /> p_ ELEC: Pmt. No. ' � "''� ❑ PLBG: Pmt. No. . <br /> ❑ Footing ❑ Pramin9 ❑ Branch Circuit <br /> ❑ Foundation ❑ Drywoll Noiling ❑ Furno[c <br /> ❑ Cancretc $lah ❑ Rough-I� ❑ F��a� � - <br /> ❑�Fireploce and Chimney ❑ Service ❑ Other�� ��<<��`- �� <br /> ❑ l�.PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ '�'!OLATION ❑ CORRECTION REQUIRED <br /> ❑ Coccctions listed bclow MUST BE Ml�DE before work can be opproved. <br /> ❑ APPROVED FOR OCCUPANCY sohject ro crrtificate of occupancy. <br /> ❑ \Nork listed bclow has becn inspected and apprnvcd. <br /> ❑ Pleow mnloct inspmtor ond arronge tor oppointment. <br /> ❑ Was not ublc �o per(orm inspecticn. <br /> ❑ C4LL 259-8745 FOR REMSPEGTI9N — 24 hour notiee required. <br /> S -"5—�Q��6 � !�°��i�� — <br /> li,speetor—„ -�' M G� U' �-N Datc �— �S '�— <br /> �� I was present during this insptttion. <br /> � `^�„f --- <br />