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� <br /> NOTICE <br /> AND INSPECTIO REPORT <br /> Ocveren � —y / � �� <br /> Address I �C� <br /> Contmctor <br /> Owncr <br /> Requested by - <br /> TYPE OF INS?ECTION REQUESTED <br /> � BLDG: Pmt. No. _ ❑ N.�CH: Pmt. IJo._ <br /> �ELEC: Pmt. No. ❑ PLBv: Pmt. N�. — <br /> ` Bmnch Circuit <br /> ❑ Pooting ❑ Framin9 ❑ <br /> p Foundotion ❑ Drvwall Nailing ❑ Furnacc <br /> � Concmtc Slab ❑ Roug-1n ❑ Final <br />� � fireplace ond Chimney ❑ Service ❑ Other _ <br /> � APPROVAL ❑ PARTIAL APPROVAL <br /> I <br /> i — ❑ IOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections Iisted below MUST BE MADE betore work con be apprwer. <br /> ❑ APPROVED FOR OCCUPANCY su6ject to certifimte af accupancy. <br /> � Work listcd below hos bcen inspectcd and aPProved. <br /> ❑ Piwso eontact insVecror ond arunge for oppaintment. <br /> � �Nos not ab�c� to perform inrUcction. <br /> p CALL 259-8745 FOR REINSPECTION — 24 hour nctice requircd. <br /> —_ _ 1 � �.�:..��.- <br /> — � ' �� c_ . <br /> ����7 ,.� �t,-✓'.-•°; . <br /> ♦/,% r s <br /> Inspeetor <br /> . .,lr��C : � Dat , ��' ~ <br /> I wos present during this inspcction. <br /> _,✓ :.f . - .____ <br /> _��._ __�.� �rti.�� "_ <br />