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cvcrcn <br />�� <br />�o�roc� <br />AND INSPECTION REPOitT <br />! <br />0,.�,.. /� �_i✓ . _ .��' 4.(,' i. S _ _. _ _ '- -. <br />� Addrezs of buildinr_.__ �:�/ �-� `'��=�r�.—.--- <br />Cenl rattor_ _-_ _- '�� - <br />TYPE OF INSPECTION REQUESTED <br />❑ CLDG: Pmt N-�__ ❑ M1tiCH: Pmt. <br />[�-ELEC: Pmt. Nc._� � � `' � ❑ PLBG' Pmt. <br />[] Foaling ❑ Framing ❑ Bronch Circuit <br />❑ fcundation L Drywall Nailing ❑ Fumccc <br />❑ Concrc�e Siab ❑ Rru9h-In ❑ F���, � <br />❑ Rreplace and Chimney ❑ Service ❑ Other_ ---� <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECi�ION REQUIRC-D <br />❑ Correelicns Iisted belnw �dUST BE MADE be(r.rt werk mn be cpp��%ved. <br />❑ APPROVED FOR OCCUPANCY subjcr,! to eerti(i�:atc c( cccu�:anry. <br />❑ Work listed bcluw hns been inspcded and apprcvcd. <br />[j Pleose eoNnct inspectnr aud armnge for oppeintmcnt. <br />❑ Was not cblc to perform inspectirn. <br />❑ CALL 259-8745 FOR R.WSPECTION -[4 huur noticc requ::c1. <br />-.5 -y�-- --� �_�-� �� 5 .��� l_�� _ <br />- -Q:�Ls-.c-``L---�__� _Datcl_���-�-� `1-=-. <br />In pecter --' �= <br />I was present during tF.is inspectien. <br />" _ _._____-____ <br />�. __ _ <br />.. ^ e --- - -------- <br />