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���oe� <br />AND IWSPECTION RE ORT <br />� '' � <br />,aa�,�.�—__��__ � <br />.� <br />con hac ror_�,��q�2�_J/�% <br />Zli <br />_____— r;cquesred bv--�-�_ <br />TYPE O/Fy INSP[CTION REQUEST[D <br />❑ 6LDG: Pmt, N;:.�_ )/� �j MECH: Pmt No.�� <br />❑ ELEQ Pmt. No.��_ <br />❑ PLBG: Pmt Nu.�_ <br />[j Foalin9 I�, ,. <br />[.1 Fcundoticn �'"�9 ❑ Bmnch Circuir <br />❑ Cenerete Slob � �n'�'OII Nalling ❑ Fumoee <br />;] Fireplotc nnd Chimncy n Rough-In � Finol <br />_-____ ❑ S::rvitc ❑ Olhcr_ <br />❑ APPROVAL ,3'�1RTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />_ _ _-_- _�-_ - <br />❑ Corteetions lisir.d be1=�w MUST B: MADC befcre work enn be op�,raved, <br />I� APPROVED FOR OCCI;>ANCY subjetl m certilica�e uf occupan;y, <br />❑\Yurk listed below hos bcen inspcucd ond oppravcd, <br />❑ Plrosc mn1aU insPetlar and orrangc (or appoinlmrnt. <br />❑ Wos not ablc to perform inspeeticn, <br />❑ CAL^25p.�87q5 FOR F�_INSPECTION — 2A hour noticc required. <br />// <br />-- -- ��_ <br />� � <br />-- -- <br />---- -- <br />_.. - ---- -- - -- --� <br />I r, �� �, I. r <br />C <br />-- � --- -- - <br />��- <br />� -- - --- -- <br />I was present during this <br />� �-�1� � <br />-� <br />� <br />