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Pie�TiCE <br />��r«�� AND INSPECTION REPORT <br />� Address� � � <br />Conhactor n <br />Ownef I __ <br />Requcsted by <br />TYPE QF INSPECTION REQUESTED <br />�}.61..DG: Pmt Na._r�� ❑ MECH: Pmt. No. <br />❑ ELEC: PmL No._ . / _ ❑ PLBG: Pmt No, <br />❑ Footinp �roming ❑ Bmnth Circuit <br />❑ Faundotion ❑ ryv.•ail Noiling ❑ Furnacc <br />[� Concretc SIo6 ❑ Rough-In ❑ final <br />[J Fireplace and Chimncy ❑ Scrvicc ❑ Ofhcr <br />(�PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />] Corrections listed beluw MUST BE IdADE before work can be approved. <br />❑ APPROVED FOR OCCUPANCY subject to certi(imte of occupancy. <br />❑ Work listed bclow has bcen inspected and appmved. <br />� Pleose confact inspector and arronqe for oppointment. <br />❑ Wos not oble to perform inspecticn, <br />❑ CALL 259-87A5 FOR REI�ISPECTION — 24 hour notice required. <br />. �:��.li <br />