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NOTICE <br />AND INSPECTION REPORT <br />everetl <br />� � �' f � <br />Owncr_ _'} L� : �� {� !a � � _ _7��c ii2�j.-- __ <br />Ad�lmss of buildin;i_ �_�.3 ��--./E� �C��S""/_�— - <br />� <br />Conlrodcr__'— 5it YL _.___,—_ —"-- --- <br />TYPE OF INSPECTION REQUESTED <br />❑ MCCH: Pml. No.-- -� - -- <br />❑ BLDG: Pmt. No._ �--�— _. -_ — __ — <br />EL[Q Pmt. P:;:._> >. l`�/ ❑ PLBu: Pmt. No._- <br />C1 <br />❑ Pootin9 ❑ Fromin9 ❑ Branch Circu,l <br />Dr all Noiling ❑ Purnotc <br />[7 fcundation C � _ � ��� <br />❑ Concrete Slob ❑ Rough�ln �7 �� � {J__ _ _ <br />Olner__ t-- <br />❑ FirePlace and ChimneY ❑ Service ____�__' __ _______'____,__ <br />❑ APPROV/�L— _�_ � p '��L APPROVnL <br />❑ VIOLATION ORR[CTION REQUIRED__ _ <br />j; orrechons listed bcl�w MUST (3C MAGE bcl�.rr w-��rk can be app�=�ed. <br />[� APPf.OVE� FOR OCCUPANCY ul�ed to ccrlificote oi occupancy <br />[� Work listcd bdcw has becn ins�ncted ond appr:;vcA. <br />[] Vlcase centact in5pector and armnge for app�intmcnt. <br />� Wos n.^.t cb: t� perlarm in�.pectirn. <br />❑ CALL 259-874� FOR REINSP[CTIOIJ — 24 hour notice requircd. <br />,�i�_ _ �' l G� �`-'Q�� - -- - - <br />-��-- - --- <br />---�-i—�'l U --- -- <br />�� m c��-�—�`� � c+�_,_v_t.�`��� <br />- -- - <br />_ .— <br />77� - 6f��f/_ ____s.pr_- — <br />� <br />--__ _� - - _ _ _ <br />-- �<,;s <br />n � � o�,� C- _ _-.if== <br />i�,;a�a��_ �4d.e---�S . _ <br />1 wos present during this insPecti�,n. <br />