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RB�TICE <br />AND INSPECTION REPORT <br />CYCfCIi � <br />,� ow�"_ r��-�- ��`�---� <br />.7 � <br />I�ddress of I:uildin9_5 f�d.Z' -._� '� --� �—'-"– <br />y/� ,�,� � , S' - ;2 � <br />CrnlmctcrGJ_-- -- ----- ---' <br />TYPE OF INSPECTION REQUESTED <br />� � pG: Pmt. No.��–��C� MECH: Pmt Na— ------- <br />I 1 ELEC: PmL Nn._— — ❑ PLOG: Pmt. No. . --- -- -- <br />I1 f-,•otin9 ❑ Fmming ❑ Branch Circuu <br />j I Foundotion ❑ Drywall Ptailing ❑ Fumate <br />�.: C^ncretc Slab [] kcu�h�ln [j fmnl <br />I.'� fircPlacc anA ChimncY ❑ $mice (''. O�hcr_� _ _–_ _ _ — __ _ <br />_– _–_--_._' _ --.__--- _—_ - _ .. .. . <br />� ❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />– �–[] Cortections IC:Ied bdr.w MUST BE MADE bef� re woik can be aPGnncd � – <br />L1 AFPROVEO FCR OCNPANCY su6ject b certilicatc ot «cut�ancy. <br />[�] Work listed bclow hos bcen inzpected ond apVroved. <br />❑ Piease contact inspecwr and arronge (ur appointmcnt. <br />[l Wos nol oblc lo perlorm in[�ptt�icn. <br />[] CALI 259-8745 FOR RLINSPECTION — 24 hour r.�Iire reyuimA. <br />�,� �.�,�'� � 6 � K -_ <br />` ..�1' � �_ .v .�.�. y,.. <br />�,,,,�Aa��C,� ``_",,,� ,- --- <br />�/ <br />��i <br />� �` � �� G� �� 6'�-�-_- - <br />w �x-� �.� � lj-�z � �_.. �-z.-.��': <br />� � �-,.-� �-�.,,�� l3-r�� , ���. <br />/_ _ �yn—� ��.�. �..«,,ti cu � �.-.�.-:^�� • <br />�,�,� <br />� � � � ���l�-- — <br />`�� ��-- �����_ y/y/� �-- <br />i�„�e��,.,. � <br />1 �s �facr•nt duriny ihis insper.lion_ <br />/� <br />/ �-.��'J Ll�"..yal/`�'_�` . _ . . ._. <br />��•� ;'v' /` <br />