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I�OTICE <br /> AND INSPECTION EPbRT <br /> r.i•.cu <br /> � Addr_sz� __—_— . . __ <br /> G.ntmclor <br /> Owncr - <br /> I.�qucsted by -- <br /> TYPE OF INSPECTION REQUESTED <br /> 01 iJG: Pmt. No. ❑ MECH: Pmt. No. <br /> ❑ LLEC: Pmt. No. ❑ PLBG: Pmt, No. <br /> ❑ Foa�{n8 ❑ Froming ❑ Bronch Circuit <br /> ❑ fcundotion �ywoll Nailing ❑ Furnocc <br /> i] Concretc Slab ❑ Fough-In ❑ Finol <br /> i, Rreplace and Chimney ❑ Senitc ❑ Other <br /> A�PROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORR[CTION REQUIRED <br /> [ ] Cerreetions listed bclaw MUST BE MADE befcre work mn be approved. <br /> �] l�PPROVED FOR OCCUPANCY subject to tcrli(ica�c cf cccupancy. <br /> j�] W�rk listed bclow hos bccn insVected and oppmvcd. <br /> j] P'cose Conia[t inspe[�or and arrongc (or oppointment. <br /> �! Was not able to perform inspecticn. <br /> �] ULL 259-8745 FOR REINSPECTION — 24 hwr notice rcquireJ. <br /> . _ _ ___ _.___ —.— _ ._. . <br /> � � /f <br /> in�,rrc�e�_� � _ �_ . . _ Datr .� �_— � `_�_ <br /> I was present durinp this ���:;�-.�i���� <br /> .... -.il _' ._—_ _ . - _ _ _ _- _—_ <br />