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- ,���-;� �, ,.,; P90YiCE <br /> `a�' ''� � AND INSPECTION REPORT <br /> � �-.; <br /> .,�ft�' .. . cvcretl �/ <br /> *-�:-. .. � � � Address��,� L�e>��lc _ ' <br />. � Centroetor ��J <br /> Owner � �/�T�U2� — <br />� <br /> Requcstcd by � <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ 6LDG: Pmt. No.� ❑ MECH: Pmt. No. <br /> jJ�ELEC: Pmt No. -� r" / "� � — ❑ PLBG: Pmt No, � <br /> ❑ Foofin9 ❑ Fmming ❑ Bmnch Circuit <br /> ❑ Foundofion ❑ Drywall Nailing � Fumacc <br /> ❑ Concrefe Sleb ❑ Rouph-In ❑ Final <br /> ❑ Fireplaee and Chimncy ❑ Service ❑ Other <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � � Correetions listed below MUST OE MADt before wark eon be epprcved. <br /> ❑ APPROVED FOR OCCUPANCY sublect ro ccrtificatc of ocwponcy. <br /> ❑ Work listcd bclow has becn inspeeted ond approved. <br /> � � Pleose eonloct inspeclor ond armnge (or appointment. <br /> ❑ Was nat oble to perform in<pcction. . <br /> ❑ ChLL 259-8745 fOR REINSPECTION — 24 hour notiec required. � <br /> ,� -i <br /> -=- �-�-¢--�'__�����_-- <br /> Insptttor Date_.(. ' � �" ( <br /> I was present durinp this inspcctian. � <br /> . . •(,�'fi __ — <br /> J <br /> 1 <br /> � <br /> .__._ _ 5�1-- ._.. - ' ' <br /> � <br />