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evcrrn <br />e <br />NOTICE <br />AND INSPECTION REPORT <br />Address� � � �'�-�r <br />ow��. <br />Reques�ed by <br />TYPE OF INSPECTION REQUESTED <br />❑ BLD6: Pmt. No. � MECH: Pmt. No. <br />❑ ELEC: Pmt. No. � pLBG: Pmt. No._ <br />❑ Footing ❑ Frominp ❑ Branch Cirtuit <br />j] foundation � Drywo�l Nai!inp ❑ Furnacc <br />❑ Concrete Slob 0 Rough-In ❑ Finai Z <br />� Fireplote ond Chimncy ❑ Service �Other� <br />� APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correttians Iisted beluw MUST DE MADE before work een be approved. <br />❑ APPROVED FOR OCCUPANCY subject to certi(icate of occupanty. <br />❑ 1York listed bclow hoz bcen innpected ond approved. <br />❑ Fleoso contact inspector and orronpe for appointment. <br />❑ Was not ablc fo perform inspection. <br />❑ CALL 259•B745 FOR REINSPECTION — 24 hour notice required. <br />_ �_1�'� -��-, <br />I wus present during Ihis inspection. <br />� C� <br />..G�<.8 � — <br />