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._. DG: Pmt. <br />i rc r�,�. <br />FJL��Fi��.��'ti� r�1,L�t3'EIvV f�,4���.rv,���6��.:� <br />�, �� :�, <br />� , �.,_, �- <br />��� - � <br />/�ddresi_ — -- <br />(� ,.:inclo���d���-- . <br />r_ _ ''� l "_ <br />'_.—'_____�.(� —��_ . <br />iYPG OF INSPECTION REQUESTED <br />�1 MECH: PmL No._. <br />_-- (�PIBG: PmL No._. - - � - . <br />,! usin9 C� Masnnry I` ❑ InsuloNrn <br />.. �.;ing ❑ Fromin9 [l Groimd�.�.-. <br />�:,i:ndnlion ❑ Urywoll Noiling ❑ Crn;ultoi� � <br />;�.scr ❑ Rough-In ❑ Final <br />�( �repluce ond Chimney ❑ Service p Other___ . <br />� APPROVAL ❑ PARIIAL APPRO\';'�L <br />❑ VI011�TIqN ❑ CORRECTION REQUIRED <br />f] Currcetions listcd bclow MUST BE Ml�DE befcre work ean bc ep�.:.�., I <br />�, � Wark listed bcicw has been insOceted ond approved, <br />f 1 Plcase mMacf inspuctor end arrangc for appointmcnt. <br />;.I Wus not ablc to perforrn inspccbcn. <br />i 1 CALL 259-8870 P02 REINSPECTION — 24 h'�ur noticc ra��,�.i��.�� <br />'. .�� �:.Lcatc of Oteupon^ey� :holl br issued onJ pos0.d on th�c prcmL�. �..� i� ���.,�.�.;-:�'.�l'. <br />�1.�z V- _ _ __-. _ _ _-.-. ___-_ <br />_- __ - --___ <br />�) <br />_ , -�/-,uc�_C�✓: .�, � �,' i �! <br />---,; <br />