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cv�rcn <br />� <br />MIOTLCE <br />AND INSPECTION REPORT <br />� `� <br />Address ���_____ <br />Owncr��(.SDi{���0 _�'[� <br />Requcsted by <br />TYPE OF INSPECTION REQUESTED <br />❑ �LDG: Pn,t, No. Y`—�— ❑ MECH: Pmt. <br />�"'ELEC: Pmt. No.-���1 —!y� � pLBG: Pmt. <br />❑ Footing � Froming � pmnch Circuit <br />❑ Foundation ❑ Drywoll Nailin <br />9 ❑ Furnotc <br />❑ Concretc Slob ❑ Rough-In ❑ finol /��,�j� <br />❑ Fireplace and Chimney ❑ Service ❑ Other ( C./'1.2� <br />�� APPROVAL ❑ PARTIAL APPROVAL. <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corzections Iisted below MUST BE MADE before work can be opproved. <br />❑ APPFOVED POR OCCUPANCY subject to certificme of oecupancy. <br />❑ Work listed belaw has bcen inspcctcd ond approved. <br />❑ Please eoNact inspeeter and arronge for oppoiniment. <br />❑ Wos not oblc to perform inspcclirn. <br />❑ CALL 259-8745 FOR REMSPECTION — 24 hour noticc required, <br />r3� 3 Q�-,.�'--�'-�---5���., i C� <br />� <br />�6Y�.t��-�«�U�?� <br />I wus present dur:ng ihis inspetticn. <br />