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NOYICE <br />AND INSPECTION REPORT <br />cvcretl <br />e ow���-- ����� rLt����,� _r__ --- <br />//� � �,c.� <br />Addrcss of building_�.L��"-L>--��C._� - "��-�- <br />Cenlraetor___—'-`h�L'�c1-l� ----'---- <br />' TYPE OF INSPECTION REQUESTED <br />❑ 6L�: Pm�. No._. ❑ MKH: PmL No.__— ---- <br />(j� ELEC: PmL Na.�� � ❑ PLBG: Pmt. No._. . . _ _— — <br />❑ fcotin9 ❑ Fmmin� ❑ �ranch Cirtuit <br />❑ Fcundoticn ❑ Ury�vall Nailinq ❑ Fum�cc <br />❑ C��nvetc Slah ❑ Rough-�n ❑ Fin�l <br />❑ Fireploro and Chimncy ❑ S�rvice ❑ Othcr--__ - <br />❑ APPROVAL ❑ PART�AL APPROVi�L <br />[; VIOLATIUN ❑ CORRECTION FEQUIRED <br />� Cnrrectinns li.tcd bdow MUST �E Ml�DE bet<'re w�ik can be approvcA. � <br />� APPFOVED FOR OCCUPANCY sublccl tn ccrlificolc of atuponcy. <br />[] Work lisicd bclow has been inspet�eJ and apprcvcd. <br />❑ Plcase ecntact irspcctur and ouangc For oppcinln�ent. <br />[] Was not oblc to perrcrm in•pccticn. <br />❑ Cl�LL 259-8745 FOR RFINSPECTION — 24 hour m:tice required. <br />�>�"- �--__ _�. �%� _ . _��/C . V.. _ � �. . <br />I was preseN durin9 this im; cctic.n. <br />t�... y __ _" ____ - _' — _ <br />