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N��'OC� <br />AND INSPECTION R PORT <br />l�ddress / ! _ / _�_ <br />Contmctot <br />Owner ___ <br />Rcqursted by <br />TYPC OF INSPECTION REQUESTED <br />� OLDG; pmt. No. ❑ MECH: Pmt, No. <br />❑ ELEC: Pmf, No. ❑ PLBG: Pmt. No.-�%� <br />� FOO��^9 ❑ Fmming � Bmnch Circuit <br />❑ Fcundoticn ❑ D II Nailing ❑ Furnoce <br />❑ Ccncretc Slab augh-In � F��a� <br />❑ Fireploce ond Chimney ❑ Service ❑ Olher <br />APPROVAL ❑ PARTIAL APpROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrtttions listed bclow MUST DE MADE bc(arc work eon be opproved. <br />❑ APPROVED FOR OCCUPANCY sublett to tertiflmte of ocCupancy. <br />❑ Wurk listed below has been inspetled and opprcved. <br />❑ Pleose cantoct inspecfor and arronge (or oppointmenL <br />❑ Was not nbic ro per(orm inspection. <br />❑ ULL 259-8745 FOR REINSPECTION �— 24 hour natice required. <br />i�� <br />I wos present during this Inspection. <br />,_- •G <br />