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y.:. <br />everen AND IN$vP�T pNE REPORT <br />� Address Q � <br />� <br />Conhactor <br />Owner <br />Requestcd <br />TYPe oF -- <br />INSPECTION REQUESTED <br />❑ BLDG; pmt No. <br />❑ EIEC: Pmt. No. -- ❑ MECH: Pmt. No._— <br />❑ Footin9 —�— ❑ PLBG: Pmt. No.__G"/Li / <br />❑ Fcundotion � F�aming �r ]`�� <br />❑ Concretc Slob ���'"'011 Nailing � Bronch Circuit <br />Fire lace ond ❑ Rau9h-In ❑ Furnoce <br />� P Chimne � Finol <br />Y ❑ Scrv' <br />--�_ 6e � Other_ <br />❑ APPROVqL <br />❑ VIOLqTION <br />❑ PARTIqL qppR- pV� <br />_� O CORRECTlON REQUIRED <br />� Carreelions listed below MUST DE MADE <br />❑ APpROVED FOR OCCUPqNCY sub be(ore work tan be a <br />❑ Wark listed below )ect to certificafe of o PProved. <br />has been inspected and a ceupancy. <br />❑ Pleose eontoct inspetror and arranpe for o PProved. <br />❑ Wos not oble to perform �P°'nlment, <br />❑ CALL 259- �^'Pecticn, <br />8745 FOR REINSPECTION — y4 hour nntfce required, <br />"�A•G <br />-- y �^�+ mspetfion. <br />m <br />