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NOi10E <br />���,��� AN1� INSPECTION REPORT <br />� OwrcU����_TL� , i3.t_.���%)_� ��x-_-_'_— <br />/ / <br />Addre.,s o( biiiliinp_ �� _3 �"Z l'�� ;L� �L�__ <br />Ccntrcctcr_._�� � Z�t✓tr..7�Y7� . /-"/� l��` <br />i �' <br />�--- � .----- - <br />-----_�_ -- - _ ---__-_ <br />TYPE OF INSPECTION REQUESTED <br />❑ UL�: Pmt. No._______ I7 fdECH: FmL �do <br />� ❑ ELEC: Pml. N:�.___________ �PL�G: Pmt. IJu._1�.��_� L <br />❑ Footinq [] Froming � Bronch Circuit <br />❑ f:undoticn [� Orywo'� Noilinp ❑ Furnacc <br />❑ Concrctc Slob � fj' Rcu9h-In ❑ Finol <br />❑ Fireplace and Chimney '❑ Service ❑ Olher—_____ _ <br />APPROV/�L ❑ p/�RTIAL APPROVAL <br />' ❑ VIOLATION �� CORRECTION REQUIRED <br />` ❑ Carreetians listed belew MUST BE MADL befcre work wn be approved. <br />❑ APPR�VED FOR OCCUPANCY sublect to ecitifieotc of oecuHwney, <br />_�-lbcik liited belaw hos bcen inspecicd ond cppraved. <br />❑ Plcosc crniact inspector and arrangc for oppoinlmcnt. <br />❑ Was nnt ablc lo perfcrm inspeeticn. <br />❑ GALL 259-8755 FOR REINSPECTION — 24 heur noiicc required. <br />_ _ __.__ <br />�.�i( c��G--�� _ �.—_ ._—__. —__ _ <br />_3« �� <br />// i <br />Incprclor �� �._� �'��----� �_Date� ��� /�� � <br />��`�' __ <br />I wos present during this inspecticn. <br />�ta;�'�• 6 <br />