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evcretl <br />e <br />❑ �LDG� Pml. <br />❑ ELEC: Pmt. <br />NOTICE <br />AND INSPECTION REPORT <br />y� ��- �`..1= - -� <br />Address <br />T � <br />�Ol11fCC�Cf � --- <br />OWfICI j� � �i <br />Rcquested by <br />TYPE OF INSPECTION <br />/ `,�"� <br />REQI:ESTED <br />MEChC Pmt. No. <br />PLBG: Pmt. No. -�3-5 � 7% <br />❑ FooFlng ❑ Frnmin9 ❑ Branch Circuit <br />❑ Foundotion ❑ Drywoll Noiling ❑ Furnacc <br />�] C�nacle Slab �Rou9h-In ❑ Fincl <br />❑ Fireplacc ond Chimncy ❑ Scrvim ❑ Other <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION �] CORRECTION REQUIRED _ <br />�C�rrections listcd bdew MUST BE M/�DE bcfare work ean be approved. <br />❑ APPI.OV.7 FOR OCCUPANCY subi�« to ccrtificatc of accupancy. <br />❑ Work listed belcw has been inspected ond approved, <br />❑ Pleose contact insU«ior ond orrange for apPointment. <br />❑ Was not able to perforn inrpecticn. <br />� CALL 259-8745 FOR REINSPECTION — 24 hour nctice required. <br />Da <br />I was present during this inspcction. <br />•�:�".i� <br />