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( <br /> ,` <br /> wo�r�c� <br /> ���,��� AND INSPECTION REPOFtT <br /> � Owncr__ ��.ti_� � <br /> Address of building_LP �Z 4y_� J�F1n-y' <br /> Contmctor��T �- <br /> TYPE OF INSPECTION REQUESTED <br /> �t Pmt. No.f7S0� � MECH: Pmt. IJn._ <br /> p ELEC: Pmt No. � pLBG: Pmt No. <br /> ❑ F����9 ❑ Fromin9 ❑ Branch Circuit <br /> ❑ Fcundation ❑ Drywoll Nailing ❑ F�mncc <br /> ❑ Concretc $�ob ❑ Rou9h-In ❑ Finoi ��,-��-�°^�'+�y <br /> ❑ Fireplacc ond Chimney ❑ Srrvicc �i,Dthef� q •�i�i_ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLAT'ION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE bePore work ean be approved. <br /> ❑ APPROVED FOR OCCUPANCY su6ject ro certificote of oaupancy. <br /> ❑ Work listed below has bcen inspected and apprevcd. <br /> ❑ Please eontact inspector and arronge for oppointment. <br /> ❑ Was not oble to perForm inspection, <br /> ❑ CALL 259-8745 FOR REINSPEGTION — 24 hour nofice required. <br /> �c.u'"`��� 9 ��t�J Z�-�'�� <br /> - -- ..%�o-a�+.CsiGC'i�Y .�c...: cL✓� _y�'V-�-✓ y„Cv.r--— <br /> -✓y��'...J/� ' s / vClllt_L!��n/�il74VN�___ <br /> 6.i�' <br /> �`�Sr� �-iG�I��J�_=�=J�� � �R✓7� <br /> � J <br /> --����_�.�-r.�. /�..� . -- <br /> InsPttror.� __ Dotn �d ���7�` <br /> � v� vrc+enr durinq this inspeetion. <br /> „�.y.,° - --- - <br />