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I'� / NOTICE <br /> AND INSFECTI N REPORT <br /> Cvcretl /- <br /> � Address_S�o o � -. ---- ---'— <br /> Confmd�r �� `"� CL%%� <br /> Owncr --- - - <br /> Rrqucsted by_ — — <br /> TYPE OF INSPECTION R[QUESTED <br /> ❑ BLDG' PmL No. ❑ MECH: Pmt. No._ <br /> -i�-g-� <br /> L-c�?-[LEC: Pmt. No.� 1L_�,1...�_ ❑ PLBG: Pmt. No. . <br /> �] Fooling ❑ Pmming ❑ 6mnch Circuit <br /> � Faundotion ❑ Drywoll Nailinq . ❑ Furnacc <br /> ❑ Concrete Slob ❑ Rough-In �-�+�*'� <br /> � Fireplace onJ Chimney �] Smice ❑ Other_. - <br /> ❑ APPROV/�L [] PARTIAL APPROVAL <br /> ❑ VIOLl�TION ❑ CORRECTION REQUIRED <br /> ❑ Conections li;ted below MUST BE Ml.DE belore work can be apprwed. <br /> ❑ APPROVED FOR OCCUPl�NCI' su6ject to cerlificole of eccuponcy. <br /> ❑ Wark listed below has bern inspetled ond opproved. <br /> � Please ccntoct inspector ond arrange fo� o��o�mmen�. <br /> ❑ Was nol oble to periorm inspectian. <br /> ❑ CALL "J59-8745 FOR REWSPECTION - 2A haur nctice required. <br /> � // � � / //�']/ � �{�7 -�- <br /> . ____✓_1.:11.L1�?_ _L..-"1----✓�---,� -�� <br /> �- <br /> —_�C�� ___ <br /> . p�ct,.r�-� _ .—Date.���— <br /> ' I as presenf uring this inzpection. <br /> ,/. <br /> �, �f'� f���!/ <br /> �:" ..^'�'�-� — - -- --� <br /> .'_.� <br />