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[�10�'I�E <br />AND INSPECTfON REPORT <br />�' <br />,�,�• • -- --- <br />� ' `��'"'�-- <br />Ownr.r. � . � _ _.._ <br />Addrcss a� buildin � �/L- ��- �-- -- <br />9— ._ — <br />Crntmcic� � - � <br />_�---� <br />TYPE OF INSPECTION REQUESTED <br />,� L-�� n MECH: Pmt. No.--- <br />�y(3LpG: pmt. Na�— � PL�G: PmL No.� � <br />I 1 LLEC: Pmt. tJa_ � Branch Circuit <br />[� Poatin9 <br />[� Foundalion <br />; 1 Concmtc �lab <br />I c and Chimncy <br />^�pmin� <br />❑ Urywail Nailinfl <br />� Rcugh�ln <br />� Servicc <br />� Furnace <br />rJ Finol <br />[] O�hc�� — - _ <br />� 1 Firep ac —�---,�� — <br />-- — ARTIAL APPROVAL <br />— -- � � qppROVAL � r oRRECTION REQUIRED <br />❑ VIOLATION � --- _ <br />� � � Corrections lis�ed bclow MUST BE MnDE belcre work �a� b� °�'�"'°`��' <br />� /�PPROVLD FOR OCCUP/�NCY subjcct �° «�����cacd.of ��uponp'. <br />� Wurk listed bclow has been mzpcded and °Q?ntment. <br />0 Plrose Con1aU inspector and arronge fcr apP <br />Was � oblc to P<rform inrP�cticn. <br />LL 259-8745 FOR REINSPECTIOtJ — 24 hour nolir,c rcauircd. <br />In � � `� o���i �—/ <br />—J�'�- �-�Y-�.',��_- � � _� cr�-;-� <br />--�-�'�J`.�.�-�' �- � %f , <br />��= - - - - <br />��_ � / Q-' � 1�3-`4-v�,1= - <br />'2'r_.-a_-r� -- � '�`--c�'-'v`�'` - _ _ _ <br />- --- <br />- -- -� _�- �--� .i � -�.�.'' _ <br />_ _ _- =`���G�-- - � <br />--- <br />� --- - - <br />-- <br />- _ --- <br />___ <br />--- � -- �r -y %I�I--z`--'-�_ <br />�-�-- <br />1.z� /� �` - -- - � <br />�� -� ��� � �� - �`--- - <br />----- - - - <br />-- <br />_ __---- <br />_------- �-� z z� h.� _ <br />Inspec <br />.-�'r ' G <br />I wos pres�uring this inspcUion. <br />j i <br />� <br />/�� /L<-���' . . <br />� , . �. �p��L `C <br />