Laserfiche WebLink
I�li�'PICE <br />AND 1NSPECTION RpE/�P�(`f�RT <br />Address_ __—_! _!-1� — Y L� -_"' — - <br />Conlractor �__ � � Q�( Q � ;,�y,�__ _ <br />Requcsted by __ _ <br />'YPE OF INSP[CTION REQUESTEO <br />;; GLUG; Pmt No.__ ❑ MECH: Pmt. No���� <br />!'; CLEC: Pmt No.__ ❑ PLBG: FmL No. <br />L1 F�'�imp ❑ Fmmina [j 6ronch Urcuit <br />❑ Fwndotien ❑ Drvwoll Noilinp ❑ Fumace <br />❑ Concrete Slob ❑ Rough-In �.F:nyi� <br />� Fireplace and Chimney ❑ $ervice ❑ Olher_.___ ._ _ _ .. <br />❑ APPROVAL PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORR[CTION REQUIRED <br />� Carrections lislnd 6elcw MUST 6E Ml�DE befcre w-.J. crn h� ap;.r.. ,, <br />❑ APPfEOVED FOR OCCUPANCY subject m ccrtilic�i� �!� ;.n: y <br />❑ Work IistM below haz been inspectrd ond opprcr:J. <br />� Please eonloct insPector ond artonge tar apPointm ��i <br />❑ Was nol oble ro perfarm inzpecticn. <br />❑ CALL 259.8745 FOR REINSPECTION — 24 hour r� ,i...� r. �.,� r,. . <br />� `�_'' Lfi-J��//;�� 6�i��i�hJ, _ _ . <br />�� <br />�i%Z�.�Lf//�/ ` / T/✓�'V '—... <br />. _ _ . _ _--_—_— . _-- _ <br />� _ <br />�j� -_—_-.__ J� _ (j <br />Insncu��r. � /// G�'i""=-^'�� _o�fc_/__ .��_- /__V- _. <br />I wos present during ihii inspation. <br />�.' 4 <br />