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, <br /> NOTICE <br /> AND INSPECTaON REPART <br /> everelt '/ � <br /> � Address ^� �� 7` 'N �ny"i'�'r_ " ' <br /> Cnnfro �ar �" ��"'� ✓ / <br /> ow��� e. �2,�C�"' <br /> f.equested by— � <br /> TYPE OF INSP_CTION REQUESTED <br /> �L�G: Pmt. No. / v# � O MECH: Pmt. No. <br /> LEC: Pmt. No.T . PLBG; Pmt. Na. <br /> ❑ Fooling ❑ Frominq ❑ Branch Circuit <br /> ❑ Foundoficn ❑ Drywoll Naiiinq ❑ Furnoce <br /> ❑ Contrcte Slab ❑ Rouph-In ❑ Finai <br /> ❑ Fireploce ond Chimney ❑ Service ❑ Other <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed bclew MUST UE MADE before work con be apprwed. <br /> ❑ APPROVED FOR OCCUPl�NCY sublect to cenilicate of acupanry. <br /> ❑ Work listed below hos becn inspected ond approved. <br /> [1 Pkwse contoct inspeclor and arronge for appointment. <br /> � Wos not able to perform inepeetion, <br /> ❑ CALL 259-8745 FOR REINSPECTION — 24 hour noHcc rcQuimd. <br /> � <br /> —�.=�r. � ��.,cw,-Y c..` — — <br /> � InS�e�_ /�'/(-� t�4y — Dat� —� <br /> � / I wos resenl durinp Ihis In�tion. <br /> c//�/ y� <br /> _ ' „�,,•k,f, __^ /��/_L'�,i'�� ' lY( _ <br /> "'7 <br /> .+.. <br />