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1 <br /> NOTICE <br /> evercry AND INSPECTIO REPORT <br /> � Address �� ���(�lpi _J <br /> � `K <br /> Controqor_��.X/1 <br /> Owner <br /> Requesicd by <br /> TYPE OF INSPECTION REQUESTfD <br /> �] BLDG: Pmi. No. <br /> ❑ ELEC: Pmt No ❑ MECH: Pmt Nc,--�---�-�_ <br /> '��— ❑ PLBG: Pmf. No._�C /�_'L <br /> ❑ Pooting � Promina � ��`-- <br /> ❑ Foundotion � p ❑ Bronch Cirtuif <br /> �����0 ❑ Furnoce <br /> ❑ Cancrete Slab ough-In <br /> j] Fireploce ond Chimney 0 Finol <br /> --- —_._—� Serv'�c ❑ Other_--__ <br /> ❑ APPROVAL ❑ PAR'I"IAL APPROVAI_--� <br /> ___ ❑ VIOLr`TION ❑ CORRECTION REQUIRED <br /> ------____----- <br /> ❑ Correclions lisicd be;ow MUST f3F MADE bclere work con be o L <br /> p APpROVED FOR OCCUPANCY subject to certifimre of occupon�ynr��, <br /> G Work listed bclow hos becn inspecled ond appmved. <br /> � Pleoze cmloct inspec�or and orranqe /or oppointment. <br /> ❑ Wos not oble to per(orm intpecticn. <br /> ❑ CALL 259-87q5 FOR R[INSPECT�pN __ Zd hour noticc required. <br /> q /-�L� —�____.____ <br /> .. —�__ /��C/�i/ �i:t/___---�� <br /> –__._----�-- <br /> ----_—__—_—.__ — . <br /> --�_ <br /> -- — <br /> - <br /> . - - -- -----_-_ <br /> Inzpeetor ��A,_� �--- --- <br /> _Dole_��� <br /> - �' �/ � was present during Ihis inspeelion. <br /> ^�rr, <br /> -... <br />