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evrrCtl <br />IV� i �CG <br />AND INSFEC110N REPORT <br />� _ . ---- - - -- / __..- _- <br />Ownrr_ '; -'. 4 L..J � '. ' =i <br />�� �" � <br />Address of building__ ___ <br />�I � �G� <br />Crniratior__�9�'�''�-_y_� . <br />'—'.:—'_—_ f <br />TYPE OF INSPECTION REQUESTED <br />❑ 6LDG: Pmt. No.,. f_ [7 M[CH: Pmt. Nu.._ <br />ELEC: Pmt No. � � � <br />C7 5-�-- ❑ FL�G: Pmt. No_ . _.. _. <br />❑ Fnotin9 [] Fmming � Bmnth Circui� <br />[] Foundotion � D�ywoll Noiling [] Pumoce <br />❑ Convete Slob �jieugh-In ❑ Final <br />[J Fireploce ond Chimnry � Service [] Olher _ __ _ . <br />❑ APPROVAL ❑ PARTIAL AFPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correeticns listcd bdew MUST 6E MADE be(cre w��.r�, can Le approved � <br />❑ APPROVED FOR OCCI�pANCY ;ubjeet m eer�ificaa: �(�.cc�poncy <br />❑ Work listed below has been inspccted ond opprwud. <br />❑ Pleose eontoet inspector anA arrange (or pppointment. <br />❑ Was not oble to perform in�peUicn. <br />❑ CALL 259-8745 FOR REWSPLCTION — 2< haur notice required. <br />T /J �`� <br />—�(�A"�"'.� �jy'e t`� 4,✓t G' L L-t�� - <br />� �� / <br />`:�� '�''``�'i - _oo�c��.--��_,� j C'' -- <br />Im�.P:clor--_�-1-- <br />. J�was premi� durin� ��sp�ction. <br />� ' i � , <br />..r�„6 ._:C , � �`_�1 _�'_(���CJ-�.lJ-! - - � — -- <br />/ <br />