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/�� �� NOTICE <br />cvcretl / <br />AND INSPECTION REPQRT <br />� Address �� / .� <br />Contracror .�'.�e.�.� <br />Owner <br />Fequesicd <br />TY,�P-E- �O� I SPECTIUN REQUESTED l�.�F * <br />❑ SIOG: Pmt. No._�,.� �a�. r. `— � <br />❑ M�CH: Pml. Na, <br />�❑� E�IEC: Pml. No._ p pLBG: PmL Na.__ <br />`l�r����9 ❑ Froming � Bronch Circuif <br />[ Fonndalion ❑ Drywoll Nniling � Fmnocc <br />❑ Concretc Slob ❑ Rouph-In � Firo�l <br />❑ Fireplotc and Chimney ❑$ervice p oir.�r_ <br />� �APPROVAL ❑ pARTIAL APPROVAL <br />❑ 1'IOLATIOV ❑ CORRECTION REQUIRED <br />❑ Cnrrtttions listed 6clow MUST QE MADE bclore work can be apprwed, <br />❑.APPROVED FOR OC,:UPf.NCY subject ro certificote uf occupmcy, <br />❑ Work listcd below Ims been ins0ectcd and approved. <br />❑ Plcose tonfact insDrctor ond orranpc for appointmcnt. <br />❑ Was not abie to perform in!pection. <br />❑ GLL 259•87A5 FOR REINSPECTION — 24 hour notice required. <br />., i-` . „ .....�y._��,c+,.�,.,= _{ vom� <br />I wos present clurinp this inspection. <br />.�s.ti � _ <br />