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everetl <br />� <br />❑ D:.DG: Pmt. <br />❑ ELEC: Pmt. <br />NOTICE <br />AND INSPECTION RE/�PORT <br />Address � �� � ` " ---�"' !.9 —`� '� <br />Requcsted by V " � n' —'"' <br />TYPE OF INSPECTION REQUESTED <br />�MECH: Pmt. No. <br />LBG: Pmt. No. <br />❑ Footing ❑ Froming � Bronch Circuit <br />❑ Foundalion ❑ Drywail Nailing ❑ Furnatc <br />❑ Concretc Slab ❑ Rough-In 0 Pinal <br />❑ Fireploec ond Chimncy ❑ Scrvicc � Olhcr <br />❑ APPROVAL ❑ PARTIAL APPROVl�L <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correclions listed bclow MUST DE MADE be(ore w�ork can be opprwed. <br />❑ APPROVED FOR OCCUPANCY subiect to ccrtificotc af oeeuponey, <br />❑ Work listcd 6clow has been inspected ond approved. <br />❑ Please contoet inspecbr and arronge for appointment. <br />❑ Was not oble ro per(orm inspcction. � <br />❑ CALL 259-87d5 FOR REINSPECTION — 24 hour notice T uired. /� � <br />�� , �S � <br />/`li9 Q.11 ?.. /�sA / t � �� / i , " _ ' �-� fi/t <br />InSpeCtnr v � �/(���- po� --� <br />I wos present during Ihis inspection. � <br />��t'a-,�, �f <br />