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4 <br /> NOTICE <br /> cve�en AND INSPECTION REPORT <br /> � Address- l�S75�5� �7��h.�_ <br /> Controctor.���t »L n _ <br /> Owncr <br /> Requested by <br /> TYPE OF INSPECTInN REQUESTED <br /> ❑ BLOG: PmL No. ❑ MECH: Pmt. No. <br /> � [yELEC: PmL No. �Q� ❑ PLBG: Pmt No. <br /> ❑ Fooling ❑ Froming ❑ 6ronch Circuit <br /> � Foundafion ❑ Drywa�l Nailinp ❑ Furnoce <br /> p Concretc Slob ❑ Rough-In ❑ Final `f�j�����Q <br /> � Fireploce ond Chimney ❑ Service � Qther����f <br /> ❑ APPROVAL ❑ PARTIAL APPROVA� <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ CorrecNons listed below MUST BE MADE before wor{: con be apDrwed. <br /> ❑ APPROVED FOR OCCUPANCY subjeci to certi(icote of «cupancy. <br /> r] Work listed below hos been inspectcd and appmved. <br /> ❑ Please contact inspector ond arronge for oppointment. <br /> ❑ Was not oble to perform inspecticn. <br /> ❑ CALL 259•8745 fOR REINSPECTION — 24 hour notice required. <br /> ��il' � G+�'�---J-�-iQ1����" <br /> Inspector__OfG„Y�.i.m�+e���=��—Date `–� _ / " �� <br /> I was present durinp this inspmtian. <br /> •.�ag.,G <br />