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�lOTICE <br />AND INS?�CTION REPORT <br />crcrctl y <br />� Addrezs�_ •�U .=3. L� �i <br />�Ontratfof "� % � w�_ <br />Rc�ucsted by <br />TYPE OF IN:iPECTION RCQUESTED <br />!] BLDG: Pmi. Nu. 1] MCCH: Prc•. No.__ <br />;`,y'ELFr; Pmt. No.� � pLBG: PmL Nu <br />[ j P„o�ing ❑ Pramin9 ❑ Branch Cimuit <br />❑ Foundotian � Drywall Noilinp ❑ Fumocc <br />❑ Ccn<rMc Slab ❑ Rough-In ❑ Finol <br />❑ Fimpiace and Chimney ❑ Service ❑ Other <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION � CORRECTION REQUIRED <br />❑ CorrecNons lisfed bclew MVST BE MAD° bcicre work con be opp�wed. <br />❑ APPROVED FOR OCCUPANCY subjecl to eertifim�c ol oc<upnncy, <br />❑ Work Iistcd below hos bcen inspecfed and aCPravrd. <br />❑ Pleose eontact insptticr ond armnge (or oppointment. <br />❑ Wos not ablc to perform impection. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour noticu rcclulral. <br />__ ... (-�GI _ <br />__ !Y� _ —i�__—J�.V1-(��L�' _—__ <br />i�-,sp:.p�. JfIJ� liC. � � � —Datc_�L' LC2_— <br />I was pmsent during this in;peeiion. <br />•{'..�_.n .. . _ _' . __' . _ . _ <br />Y' <br />