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•�_`:-,��r og�s- ,''�r,' <br />. No7ri�� <br />AND INSPECTION REPORT <br />cvrrcil Q n <br />� Owncr__ y L� �/�^_1..��/�%y5/ Q <br />Address o! building_ `1''�r�l�� <br />Centractor �� �—��C ` <br />TYPE OF INSPECTION REQUESTED <br />� ❑ OLDG: Pmt No. ❑ MECH: Pmt. No._ <br />• ❑ ELECt PmL No. �� ❑ PL�G: Fmt. No. — <br />❑ Pooting ❑ Fromina ❑ Branch Ci�cuit <br />7 ❑ Foundation ❑ Drywoll Noilin9 ❑ Furnau <br />. ❑ Concrcic $lob ❑ Rou9h-In ❑ Final <br />❑ Fimplaec and Chimncy ❑ Ser;iec ❑ Othcr <br />❑ AFPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed bcicw MUST BE MADE befere work mn be opproved. <br />❑ APPROVED FOR OCCUPA�JCY subjcct to ccrtificatc of accuponcy. <br />❑ Work listed below �'�as bcen inspeetcd and appreved. <br />❑ Pleese eontuct insptttor and arron9e for appointment. <br />❑ Wos not ablc to perform inspecticn. <br />❑ CALL 259-8745 FOR REWSPECTION — 2A hour notite requ�red. <br />/ �, . � � �,�,�- :. N ,�L �o,��,�, \ <br />`�i/J 3�957 °�' �l�L �iciC �.�p��CLf/.- i � [�!� � <br />was gre�nt_ during this inspcelion. <br />