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� <br />I�4iiCC <br />� •� AND IP�SPEGTION REPORT <br />O L.-,,..l�f�,�c,l�. �"v "�-..-�t� LL!_ i c- \' -- <br />Owr� r_ .. ..� . <br />Address of buildin /4_ �_� �=�' �K'-v� —_, <br />g—__ <br />Crniroctrrr:� `. �'.�'" "y� - -- <br />TYPE OF INSPECTION REQUESTED <br />r'] BLDG: Pmt. No.— ❑ MECH: Pmt No.__ <br />❑ ELEC. Pmt. No.��S��— ❑ PLBG: Pmt Na._ -_ <br />j7 Footine ❑ Fmminq �Bmnth Circuit/J'�j.:mt <br />[ j Foundalion n Cryw�ll NaJing ❑ Furnacr. <br />(� Ccncrete $Icb ❑ f.cugh-L� ❑ Final ;; � �/ � <br />�] Fircv�ace and Chimncy ❑ Servicc ❑ 01hcr_-�— ._ _ <br />❑ APFROVAL [J PARTIAL APPROVAL <br />❑ VII�LATION ❑ CORRECTION REQUIRED <br />��-] Ce�.rmUions listed bel'w MUST �E MADE before w: rL: cen bc ap;:raved � <br />[� APPROVED POR OCCUPANCY sublec� �o tertifim�e c� � tco�vn:y. <br />[] Work listed bclow hos bcen insneeted and apPruvcd. <br />� j Plrose eontocf inspettor and orranpe (or oppoinLneni. <br />�� Wos not able ro perForm inr.peclicn. <br />�7 CALL 259-8745 FOR REINSPKTION — 24 hcur m�ticc r,.:�a�� �� I. <br />--���i <br />C n�1. r G. ;, <br />-�'-<_ _��- - - <br />C,�` ����_�' _–�,...�,—�_,C',�`L:-��,_ <br />� , � _ .-, �' , � i'., , , 7 ___ <br />-�r- <br />this inspc<tion. <br />