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�,1�TI�E <br /> �,��,,��� AND INSPECTION REPC?RT <br /> � O�vncr_ _ __'__^:_._' _� __. _ _. _ _ _ _. " _'_ <br /> AdJress �f bulidin U� � i � <br /> �_�."_.-�. -._�'-._' _ _ _ _ _ ' . .- <br /> i <br /> i ' ` � <br /> �rnfraClCf�_�_�r_ . /"'__��_ <br /> TYPF OF INS�°[CTION REQUESTED <br /> ❑ GLD6: Pm.t. Na___ [] hlGCH: Pmt. Na___..___ <br /> � 1 ELEC: Pmt. No.___;_!_'__ � PLBG: Pmt. N�.__ __ ' _ __ <br /> I.j �'uctin <br /> 9 ❑ Frcming [Jr�Bronch Circuit <br /> I j F..vndation � Drywpll Nailin9 �❑ Fuma:e <br /> ❑ Concralc Slob .[J Rcugh-In ❑ Final �� <br /> [] FirepiaCc and Chimney �jcrvice [� Othcr__'_—__ . _—_.__ <br /> .—" ___ ___-___.—_ _——_-.._-- <br /> � APPROVAL [J PARiIAL APPROVAL <br /> ❑ VIOLATIOiV ❑ CORRECTION REQUIRED I <br /> � ❑ Ccrtection, P-'•.d belcw MUST BE MADC be(cre wurl; con bc ep�;roved. � � <br /> ❑ APPROVED FOR OCCUPAP:CY subject m wrtificole cf eecupenry. <br /> ❑ Wcrk li;icd bclow has bcen inspcctcd and opnrwcd. <br /> ❑ Please wntact in50ects ond arwnpe far appnintnxni. <br /> ❑ Wos mf ablc to perfcrm mrpttticn. <br /> Q CALL 259-8745 FOH RGINSPECTION -- 24 nour notice requirerl. <br /> � <br /> ._ _.—_____._'_______________�____ — . . _ .. <br /> --?--�--- ��-- - <br /> ..--�!�i �ir�J /;j'r-7 (/� - v` <br /> .. ___�SL� -�.I � v _ . <br /> -- -- i <br /> -.- ----- ___ � <br /> _..------- -- _ . ��, <br /> -- - - G <br /> �' ��- �- -._ i <br /> � --- -- --- - j. -- .__ --- <br /> �n.;,. .i., . � ..- �- �.—� ---._Datc '� �- �'� _ <br /> I wos prMent durin9 this in5prclian. <br /> �_. c <br />