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�Q�'If`.E <br />0 �,•��+ ANti INSPEC710N REPOR'i' <br />Onncr_.�G�i.w�%c�-_1,��-..-:.��.�-- ..- _ _._ _._ <br />/.ddress ul huiidin9..� � .Z.? —'�.1�� /_ '_-_ __ -_ .. <br />� _� <br />O.ntractcr=i:_. �.�•-�'Ss��=\ --�" <br />_:___-._..�.__ _ <br />TYPE OF INSPECTION REQUESTED <br />[Q,.BLAC; PmL Na — ❑ MECH: Pmt No._ _ <br />[] ELf:C: Pmt. No.___ __ ❑ PL6G� Pmt. N�.-.__.__ <br />❑ Fuatin9 ❑ Froming [J Brcnch Circuit <br />j] Fcundatinn [�DT�'��I Noiling ;] Fumace <br />❑ Crncrero Slub ❑ Rrugh-In � i�in�l <br />❑ Fircplacc ond Chimney ❑ S�rvi<c ❑ Othcr <br />PPROVAL ❑ PARTIAI_ APPROVAL <br />p VIOLATION ❑ CORR[CTION REQUIRED <br />� ❑� Carree�ions listed Lrlew MUST �E MACE bcicre worL, mn be approva:l <br />❑ AFPF.OVED FGR OCCUPANCY sublecl ro eenificale of eccuponty. <br />[ � Wnrk listed bclaw hes bcen inspr.ucd and op�mved. <br />[� �:ease ccntaCl insptttar ond arrone�e for opp=infinent. <br />'� Was not ablc to perform in[p<c�ion. <br />❑ CALL 259-8745 FO. f.EWSPECTiON - 24 hcur notice reyuired. <br />. . �--�"`��-i.� -`.`-%--'li'�.5-'a-�.-/—_/�—'t'1._- ..-- - --- ___. <br />-- - r/,�.rz,.e� �..��----- <br />Irepcetcr_�� / � L�e.i .��-Gn.� ___UaM r • � • •<.J¢_ <br />I was pr s t durin� this in,pr,tirn. <br />i, <br />,.;�'_'�.� .. _ . .. _ .. __ _. . <br />a <br />