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fdOTICE <br /> AND INSPECTION REPORT <br /> cvcrclt � <br /> � Addre:s <br /> Contraclor .1/t_ <br /> Owncr <br /> Requcsted Uy _ __ <br /> TYPE OF INSPECTION REQUeSTED <br /> DG: PmL No.___�Jz / .' � � MECH: Pmt. No. <br /> ELEC: Pmt. No. ❑ PLBG: Pmt. No.__ <br /> � � Foundation �r�wol9 Nailin � Branch Circuit <br /> ❑ y fl ❑ Fumacc <br /> ❑ Concrete Slob ❑ Rough-In ❑ Final <br /> ❑ Fireploce ond Chimney ❑ Service ❑ Other _.____. <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> �1L1f,2�ATION �GRRECTI�N REQUIRED <br /> I ❑ Correelions lis�ed belcw MUST �E MADF befare work can be approved <br /> ❑ APPROVEU FOR OCCUPANCY subject to ccrtificotc of cccupcnry. <br /> I � Work listed bclow hos becn inspeeted ond approvcd. <br /> ❑ Pleose contact in;pecfor ond arrange tor oppointment. <br /> � Was not oble to perform inspccticn. <br /> ❑ CALL 259-8745 FOR REINSPECTION - 24 hour notite mquired. <br /> _________--i�t YS���-Cif,.—�`��/� ._._-_— <br /> / - <br /> ----✓��£-r-� / /( -- � -- � <br /> . , --�� ` / - - <br /> — - - � <br /> -- �---�. --- --—.. <br /> - <br /> _ -����"- --_�-�_���= <br /> - - - - � � �.��- <br /> -- _ - - � � --��-- <br /> Z -] z <br /> I�::ncct��.r.__ _ C1-__ Datc -1---- <br /> ✓ pr�ent durinp this inspeetion. <br /> l <br /> '�. � / . _ _ _.- ___. - __ -.___ .. __.-_-. - <br />