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9'��� <br />evcrctt <br />� Addrtss � � Jl���S �� <br />�i <br />Contracror� <br />NOTICE <br />AND INSPECTION REPORT <br />Rcqucsled by <br />T1�YPE OF INSPECTION RE(�UESTED <br />J BLDG: Pmt, No._7'�� 3� � MECH: Pmt No. <br />❑ ELEC: Pmt, No. � PLDG: Pmt. No. <br />❑ Foatin9 � Framin9 <br />❑ Fcuncoticn ❑ Brunch Circuit <br />❑ Concretc Slab � �n'"'cll NoilinE ❑ Furnace <br />❑ Raugh-In �- <br />—',] Firepla[e ond Chimncy ❑ Scrvice � <br />Othcr <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />_ __❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed bdaw MUST BE MADE befere work con be opproved. <br />❑ APPkOVED FOR OCCUPANCY subject to ccrtificotc of occuponcy, <br />[]� Work listed below hos baen inspected ond opprovcd. <br />❑ Pleose confact inspecror ond amonge far oppointment. <br />,{�' Was no1 oblc to perform inspeeticn. <br />�j CALL 259-8745 FOR REWSPECTION — 24 hour noticc required, <br />