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cvc�cn <br />� <br />❑ o�oc: rm�. <br />❑ ELEC: Pmr. <br />NOTICE <br />AND INSPECTION REPORT <br />Address Z / n ��,u�,,,� <br />Controttor_����� �`� <br />Owncr___ <br />Requcsted by <br />TYPE OF INSPECTfON REQUESTED <br />❑ Foating <br />❑ Fnunduticn <br />❑ Concrete $lob <br />❑ Fireploce and Chimney <br />❑ MECH: Pmt. <br />p PL[iG: Pmt. <br />❑ Froming ❑ Bronch Cirtuit <br />❑ Drywoil Noiling ❑ Furnoce <br />� Rough-in ❑ Finol <br />❑ Scrvice � � � <br />�Othcr__ i <br />I <br />[�')4PPROVAL ❑ PARTIAL APPROVAL <br />___C1 VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE Ml�DE before work con be opp;oved. <br />❑ APPROVED FOR OCCUPl�NCY subjecl to eertificate of occupancy, <br />❑ Work listed bclow hos 6cen inspected ond appraved. <br />❑ Plecse tonlact inspector ond arronge for oppoinlment. <br />❑ Wos not oble to perform inspedion. <br />❑ CAIL 259-87q5 FOR REINSPECTION — 24 hour notice required. <br />Inspe<tc:r__�Ly_J�/�/�iy� ' �� � <br />--�—L—_Date <br />I was present during this inspection. <br />