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R1�0�'1�� <br /> �,� ��� AND INSPI=CTION REPORT <br /> O ow„�,�� �".� <br /> i �� „ ��a----- <br /> � <br /> � Address of buildin9L 3U �� < _v �Ti�✓�• _ <br /> Coniracror_�L°2—""'"�� _ ._ ____ <br /> TYPE OF INSPECTION REQUESTED <br /> Q3�tiLDG: Pmt Nc.3L7 — 7�' p MECH: Pmt. No.__ _ <br /> ❑ ELEC: Pmt No. __ ❑ PLQG: Pmt. Na. _ <br /> ❑ Foatin9 � Fmming ❑ I3ranch Circuit <br /> �dotian ❑ Drywcll Nailin9 ❑ Furnacc <br /> ❑ Concretc 5!ob � Rr��gh-In ❑ Finol <br /> ❑ Fireplace and Chimmey [j Service ❑ Other ,_ <br /> PROVAL �] PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections IisteJ bdow MUST PE MADE before work ean be approved. . <br /> ❑ APPROVED FOR OCCUPANCY subjeet m ecrtifiwtc of aecupancy. <br /> � '� Work listed bclow hos bcen inspttted and approved. .� <br /> j I, Please contoct inspccror and arronge far appointment. <br /> I. ; VJas not able to per(orm in�pecticn. <br /> �_I CALL 259-8745 FOR REWSPGCTION — 24 hour natice requimd. <br /> —`�f"''"y"�.?_ G��� . <br /> -L��u..y__ir.- �%n.,.!i,•� -- <br /> --- _ <br /> --/-� -- - _ -- - -__ <br /> Ins�,:�ch:r��_.�✓�✓G���� Datc���/J� __ <br /> /'�—_-- � <br /> I v;cs present durin9 ihis inspeCtion. � <br /> - ,. �— _��c�..�s� <br /> . - ------= - - -- <br /> —� --- - <br />