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�dCJTICE <br />�•��.�n u"nef__-1 yAND INSPECTION R�PORT <br />� � <br />'�'�'LT__— ���_�t_�r�----�--�- <br />Address o{ building_ i� �/i'�"�' �� <br />�._ <br />C-ntmctcr �lh�r_ i�p <br />_.- - —_ ---'—=----_ -- <br />TYPE pF INSPc'CT�ON REQUESTED <br />❑ QLDG: Pmt. No.__ <br />f.J ELfC: PmL Ne._���-�' i� � h1[CH: PmL plo._ ___ <br />❑ PLBG: Pmt No.____ <br />j t F,wtin8 - -- <br />� F�ominq � � Graut <br />[] F.undation ❑ �'�r: � <br />Cl Cenacic Slob ❑ Dr�wa'J Nailin9 ❑ Fumocc <br />❑ Rouph-In ❑ Fin.l <br />�] Rrep�a�c and Chimncy � 5rrvice <br />- -----__.__ _ ❑ Oliicr_ <br />�----__'�— — __ _'__-_-__-_ <br />-__"_'_ '__.__'_-__-` <br />❑ APPROVAL —=- -- <br />❑ VIOLATION � PARTIAL AP�=f:O�iAL <br />____ __ ❑ CORRECTION REQUIRED <br />❑ Correetiens lisied below M,UST BE MADE be(cre we�{; ecn be app�eved. <br />❑ APFROVED fOR OCCUPqNCY subjec� ro certifica�e of occ�pnncy. <br />❑ Work listed belaw hos bcen in;pcctcd ond apFrcved. <br />❑ Plee<o ������� inspeeter nnd arrange (or oppoiniment. <br />❑\Yas ncf oblc ta per(orm in[pecticn. <br />❑ CALL 259-B745 FOR REINSPECTIpN — yq hour nollcc rec�uhc,i. <br />_—.1 � _ _ ----_ <br />---�� l�-t��_. <br />-. _C� �- �_ -�9. ,�P __��, �.�� -- --- <br />1-i:pcctor , �--` ---------------�,`__ - 7 - <br />Darc . _ -1 �- - - (�— <br />I wos present d�ring �his ins <br />Pedion. <br />a.�'L <br />