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� <br /> I <br /> �IOTICE <br /> evcretl /�� <br /> AND INSPECTION REPORT <br /> e �- <br /> AdAress `fTJ G�-. �(J��l/ <br /> (:onimttor <br /> C)wncr /C�/�'C G�12/�J//1 / (�� <br /> Rcqucsted by <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ QLDG: PmL No.� � MECH: Pmt. No. , <br /> � ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br /> ❑ Footing ❑ Froming ❑ Bronch Cirwit <br /> ❑ Foundofion ❑ Drywall Noiling r� Fumacc ' <br /> ❑ Concretc Slab ❑ Rouph-In ❑ Finol <br /> ❑ Fireplote ond Cliimncy ❑ Service ❑ Other_ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> __ ❑ VIOLATION ❑ CORRECTION REQUIREU <br /> ❑ Corrections lisled below MUST BE MADE before work ean be approved <br /> ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br /> ❑ Work listed below has bcen inspected and opprovcd, <br /> ❑ Please contocl inspector ond ormnge fcr oppoinimenL <br /> � Was not ab�e to perForm inspe[tion, <br /> ❑ CALL 259•87A5 FOR REINSPEC�1(2�fJ — 2q hour noticc requircd. <br /> -�� ,:��___�� S�'� �L�' <br /> ; <br /> , <br /> -- , <br /> - , - - - <br /> In�peetor_'C����`� �' �L�( Dat <br /> I was present during this insneetion. <br /> .,��,f, <br /> ,' <br /> II <br />