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NOTICE <br /> e�eren AND INSPECTION REPORT <br /> � Address � � A � ii �� <br /> 1 <br /> Conrroctor �(��/.-cr�. <br /> Owncr_ <br /> Pequcsted by <br /> TYPE OF_INSPECTION REQUESTED <br /> ❑ a�o�: rm�. No.��.�_ � MECH: Pmt. No._ � <br /> ❑ ELEC: Fmt. No. � PLDG: Pmt. No. <br /> ❑ Pcating ❑ Froming � pranch Circuit <br /> ❑ Foundotion � Drywoll Nailinp � Fumace <br /> ❑ Concrete Slob ❑ Rough-In [� Finol <br /> ,/'�fireplace and Chimney ❑ Service ❑ O�her_ <br /> � z <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ IOLATION ❑ CORR[CTION REQUIRED <br /> � Corrcctions listed below MUST BE MADE befom work con be approved. <br /> ❑ APPROVED FOR OCCUPANCY subicct ro ccrlificatc nf occupancy. <br /> ❑ Work Iisled below hos becn inspeeted ond apprcved. <br /> ❑ Please mMoct inspector and orronge for appoiniment. <br /> ❑ Wos not oNc to per(crm in�ptttion. <br /> ❑ CALL 259-87A5 FOR REINSPECTION — 24 hour notice required. <br /> / <br /> Inspeetor � <br /> Dote <br /> I was present du�ing this in5pcction. <br /> ..�,. i; <br />