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NOTICE <br />everen AND INSPECTION REPORT <br />Address {, 1 Z — ��� •� lr�-� t _ <br />Contractor /1./ocl 5t7sC% <br />r� <br />owner <br />Requested by — — <br />/- TYPE OF INSPECTION REQUESTED <br />el BLDG: Part. No.a,�Ij�� ❑ MECH: Pmt. No. <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br />❑ Footing ❑ Fronri'Do ❑ Branch Circuit <br />❑ Foundation oll Nailing ❑ Furnace <br />❑ Concrete Slab ❑ Rough -In ❑ Final <br />❑ Fireplace and Chimney ❑ Service ❑- Other <br />❑ APPROVAL &PK61AL APPROVAL 1U�U4 <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved <br />❑ APPROVED FOR OCCUPANCY subject to certificate of occuponcy. <br />❑ Work listed below has been inspected and approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was I able to perform inspection. <br />LL 259-8745 FOR REINSPECTION — 24 hour notice required. <br />—5 4 P15 ( -ice z )J4, ifL t L. j c_ <br />C <br />