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lV��ICE <br /> cve�en AND INSPECT(ON REPORT <br /> eAdd.�s� ��?� f�,�, �%C <br /> co���a«o. <br /> Owncr ��� //�L YT(C GiS <br /> Requcsted by <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No. <br /> �ELEC: Pmt, No. ❑ PLUG: Pmt. No _ <br /> ❑ Footin� [] Froming � Bronch Circuit <br /> ❑ Foundaticn � Drywoll Nailin <br /> ❑ Concretc $lab 9 ❑ Furnace <br /> ❑ Rough-In ❑ Final <br /> ❑ Fireploce and Chimney ❑ Service ❑ Other <br /> ❑ APPRUVAL p pARTIAL APPROVAL <br /> _ ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � Corrections listed below MUST OE MADE be;ore work tan bc apprwed. <br /> ❑ APPROVED FOR OCCUPANCY subject to certificote of occuponcy, <br /> ❑ Work listed below has bcen inspected ond approved. <br /> ❑ Plmse [onfoct inspector and arronpe for oppointment <br /> ❑ Was not oble to perform inspcction. <br /> ❑ CALL 259-@745 fOR REINSPECTION — 24 hour noticc required. <br /> ----�f�?�_�__L� c <br /> -- ____��-� /O O%.� C.�' <br /> InsPector � ��• .�(� ���� � �,78 <br /> DaM <br /> 1 was present during this inspection. <br /> '��a'� <br /> • <br /> a <br />