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t��'ii�E <br />r.�,cn /' <br />AND INSPECTION REPORT <br />� Owncr_ ����t_��KA` ` <br />/ __ <br />Address of Luilding�� � �'v'4L._r'..y � _._ _ <br />Crntrocror����.� . _ _ <br />TYPE OF INSPECTION REQUESTED <br />�iLtX: Pm�. Na..f �� 3 ❑ MECH: Pmt. No.—_. .- <br />�'� CLEC: Pmt. No.—__ ❑ PLBG: Pmt No._. _ __. ._ .. <br />❑ Footing �FrOfiSinr� [] �mnch Circuit <br />�mJatir.n �t.yr�y ❑ Drywoll Noiling ❑ Furnocc <br />❑ Concretc Sln� ❑ Rcugh-In ❑ Finol <br />j I Rrq�lncc ond Chimncy ❑ Scrricc � Oihcr__ . <br />�j APPROVAL ❑ PARTIAL APPROVAL <br />f l \/IOLl�TION �] CORRECTION REQUIi<�D <br />�[J C����cctions listed 6cicw MUST L'E M,ADE bdcm wo�k nn �_ :-,��+�.�.d. <br />j�j APPIiOVED FOR OCCUPl�NCY subject to certifica�c of occu�'.o��.y. <br />❑ Work lis�ed below hos been inspecicd ond approved. <br />( J Please eontott inspttlor and arranqe (or oppaintment. <br />�] Was not oble to per(orm in�peclicn. <br />`�� C)ALL 259-E74� FOR REINSPECTION — 24 hour notiec maulec�.!. <br />V`�14 �'���2. �1.ri.G'1' .��--s—�� <br />%'�,� cx��� - — — <br />_r--u-�:..-- c�^,� <br />,r� u,� _ _ ,�-,.�.-.-.---� <br />�- <br />�•-.-,=�� --- <br />__ — - <br />_ �.�-�- ���--���_1- <br />��_ - - -- - <br />I���p�cicr_�.�- -��� Datc1.��/9?2 __ _ <br />I r� PrczeM uring t is inspretion. <br />' �` �Zp�✓ .�� <br />>... � � <br />