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fVOT9CE <br />���.�n AND INSPECTION RE�PORT <br />� /�ddress_����� /S/1..J /i,�� <br />—�l {R _='/�!S <br />Controctor <br />_ Rc�uested by�_ <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. <br />❑ ELEC: Pmt, No.__ -- ❑ MECH� Pmt No._ <br />— ❑ PLBG• Pmt No.� <br />❑ Footing � Framing <br />❑ Foundction ❑ Bronth Ci¢uit <br />❑ Contretc Slob � �ryWO�I Nailin8 ❑ Furnacc <br />❑ Rough-In ❑ Fino1 ,�� �� <br />Q 'reploce ond Chimncy ❑ $crvite <br />❑ Othe ,�INt_/7i/JC� <br />APPROVAL ❑ PARTIAL APPROVAL <br />_ ❑ VIOLATION ❑ CORREGTION REQUIRED <br />❑::orrections listed below MUST 6E A1ADE befere wo�k ean be <br />\❑ APPROVED FOR OCCUPqIdCy sub ect to PProved. <br />�7 Work listed bclow has been inspected andeart'f1Ca}� of octupan:y. <br />❑ Please centoct inspeclor ond ormn e for o F�'rovrd, <br />❑ Was not ab�e to � VPointment. <br />perform inspeeticn. <br />❑ CALL 259-8745 FOR REINSPECTION — Zq hnur notire required. <br />� ��+ weacnr auring this ins(:cceipp, <br />.. . �"'R,(i <br />� <br />