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n�o�icE <br />CVClfll AND INSFECTIAN REPORT <br />0 � ^�' /' _ _ _--_ __-___. <br />Owncr—_�._ �e+��- %�t�l--cG-<•�2 <br />Address of building_�Q.d" .�-�� � "u- ---- <br />/-l�� <br />Controctor�f'�t•'"'�"���� "--- '- <br />TYPE OF INSPECTIOIJ REQUESTED <br />❑ l3LDG: PmL No.— -�j— ❑ MECH: PmL No.—_ — <br />[� ELFC: Pmt Na..��_.� ❑ PLOG: Pmt. No._ ---- <br />� ppo�i�g [] Fmming rond: Circuit <br />❑ Founoation ❑ Drywoll Nolling ❑ Furnacc <br />❑ Concmle Slob � Rcugh-In [] Finol <br />❑ Fireplacc and Chimncy ❑ Scrvicc ❑ Other <br />❑ APPROVAL ❑ f'ARTIl�!_ APPROVAL <br />❑ VIOLATION [I CORRECTION REQUIRED <br />❑ Carrections lisled below MJST OE MADE bdore wurk can 6e opproved. <br />❑ APPROYED FOR OCCUPANCY subjecl ro tcrtificmc cl ccainancy. <br />❑ Work listed bclow hos bccn inspected and oppruved. <br />❑ Plwse tonroct inspectar ond arronge fur oppointmn�t. <br />❑ Wos not oblc ro perfurm inspectian, <br />❑ ULL 259-b7A5 FOR REINSPECiION — 24 hour notitc reGuired. <br />_._— _ � <br />/ i' <br />'Gb.C� Da1eJ__.—x'-_�. <br />InsPeclor—.7'--- - � --- <br />/ `) <br />I was rc t un is I�p�clio� <br />/ <br />�i . <br />,.r�..b _ _'_ _ _ LL�1_" __. -..'"'_.—" <br />�' <br />