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\�`� <br />everetl <br />e <br />NOTICE <br />AND INSPECTION REPORT <br />Addreu •—•L�� I�">( Y� 1 U� � I�l �l J�I `�� <br />Contratror ."���"x ' � I�` -�--.J �� � 1� 1— <br />Owner �--.��� <br />Renucsted by <br />�PE OF INSPECTION REQUESTED <br />� OL�: Pmt No.� 0 MECH: Pmt. No.___ <br />❑ ELEC: Pmt. No. p PLF3G: Pmt. No. <br />❑ Foaling �oming Q Bmnch Circuit <br />❑ Poundotion ❑ Drywoll Noiling ❑ Fumocc <br />❑ Concretc $Iab ❑ Rough-in p Finoi <br />❑ Fireplacc ond Chimncy ❑ $crvicc ❑ Othcr_ <br />❑ APPROVAL ❑ PARTIAL AFPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrcctions listed bclow MUST DE MAUE bcicrc work [an bc appmved. <br />❑ APPROVED FGB OCCUPANCY subjmt to ccrti(icatc of occupanty. <br />❑ Work listcd belaw has bcen inspectcd ond apprcvM, <br />❑ Please conto[t inzpeetor and orrange for oDPoinlment. <br />❑ Was not abic lo per(orm in�pcClicn, <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour natice required. <br />InSpcCPor _�iid�^' <br />I wos � <br />^Q�ti _ <br />�i�irinp this inspcction. <br />