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t n .` <br />y�':' . . . .. <br />'� ^.� : <br />. P9AYICE <br />, AND INSPECTION REPORT <br />ererett �j <br />� Address � �i � � • ^' IZ d'Q Q(�f /� � <br />�o��,a«o. 2aa��so� �� y - <br />oW��� l�iu�s l�!�.�� � <br />Requested by <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.-�—�— <br />❑ ELEC: Pmt. No [�PLBG: Pmt. No. ���� <br />❑ Faiting ❑ Froming ❑ Branch C(rcuit <br />❑ Foundotion ❑ D all Noiling ❑ Furnace <br />❑ Concrete Slab ough•In ❑ Final <br />❑ Fireplace and Chimney ❑ Service ❑ Other <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correttions listed below MUST BE MADE before work con be approved. <br />❑ APPROVED FOR OCCUPANCY subject to certificate of acupancy. <br />_�� Work listed below hos bcen inspected ond opproved. <br />❑ Please contact inspecfor ond orrange for appointment. <br />� Was not able to perform Inspection. <br />❑ CALL 259•8745 FOR REINSPECTION — 24 hour notice required. <br />.�'p•6 <br />1 was present during this inspection. <br />