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NOTICE <br /> AND INSPECTION REPORT <br /> ��e.en r� /p���� • <br /> � l�� 7 Y�.Y_!/_'(lC N <br /> Address <br /> ControCtor—(��C <br /> �yv,i/ m51��4•Ptt� <br /> Owner_{/—���-�'--- <br /> Requested by - <br /> TYPE OF INSPECTION REQUESTED <br /> [] gLDG: Pml. No. ❑ MECH: Pmt. No._-- <br /> [.]�CCEC: Pmt. No. ❑ �LBG: Pmt. No. <br /> � Fxting (] Frominp ❑ Branth Circuif <br /> ❑ Foundoticn ❑ Drywoll Noiling ❑ Funwce <br /> � Concrete Slob � ROUfl��-�O ❑ O hcr��" ��' <br /> � Fireplace ond Chimney ❑ Service � <br /> � APPROVAL ❑ PARTIAL APPROVAL <br /> p VIOLATION ❑ CORRFCTION REQUIRED -� <br /> ❑ CorrecNons listed below MU>T BE MADE belore work con be aPPrwed. <br /> ❑ AFPROVED FOR OCCUPANCY subject to certificare o( occupancy. <br /> � Work lis'ed below has bcen inspected and opv��'�� <br /> ❑ Pleuse coMact inspedor and armn0e for oPVoiniment. <br /> � Was not able to vcrform in•vection. <br /> - � UlL 259•B 45 FOR PLCTION — 24 hour notia repuir� � <br /> ��Z CD�f��'� <br /> ------ <br /> ---- ---- <br /> --------- - , -- � ������, <br /> -� � — - � Date�e'_-'�-�-�-- <br /> I.,•.��..,r•,r_ - __ _ <br /> 1 was present durinp this inspection. <br /> .�,fi _ —____ ._. _________—_ _ <br />