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evcretl <br />e <br />PlOTICE <br />AND INSPECTION REPORT <br />Ownc._��S/ Q•a�lt --.------ <br />Address o( building�—!`� � t��C.�s�R� _ <br />—_ Centratter��-4.._ _ _ — <br />TYPE OF INSPECTION REQUESTED <br />�BLDCi: PmL No. � 9 O 3 G � MECH: PmL No._ <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No.— <br />❑ Footing ❑ Fmming ❑ Bmnch Circuit <br />❑ Foundation �wall Noiling ❑ Furnoce <br />❑ Concmte Slab ❑ Rough-In ❑ Finol <br />❑ Fireplace ond Chimney ❑ Service [� Other <br />�AP�ROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ �ORRECTION REQUIRED <br />❑ f'orrections listed below MUST BE MADE beforo work can be approved. <br />❑ APPROVED FOR OCCUPANCY' subject to certificate af occupancy. <br />❑ Work listed bclow hos bcen inspected and apP�oved. <br />❑ Please eonmct ins0ector ond arronge for aVPointmenL <br />p Wos not oble to perform inspection. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 I�our notice required. <br />--� �.�.� � � -- � - <br />�- - �.�-��-c' � <br />•��• 6 <br />�. <br />I wo5 pre� during this in5pecti0n. <br />_� �� � - <br />