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cvcretl <br />e <br />NOTICE <br />AND INSPECTlON REPORT <br />Address�� O ��� <br />Gon�mcror ���` ` O ��—� <br />�: �=J(�Y <br />Owner <br />Requested by <br />TYPE OF INSPECTION REQUESTED <br />❑ �L[Xi: Pmt. No. ❑ MECH: Pmt No. <br />(,�ELEC: Pmt. No, � � ❑ PLBG: Pmt. No. <br />❑ F��.�g � F�am��9 ❑ Bronch Circuit <br />❑ Poundation ❑ DM�'�II Noilin9 ❑ Furnacc <br />❑ Concrete Slob ❑ Rough-In Finol <br />❑ Pireplacc and Chimncy ❑ Scrviec Othcr -- <br />,�f APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORR[CTION REQUIRED <br />� ❑ Corrections lisicd below MUST BE MADE before w�ork can be opproved. <br />❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br />� Werk listed be�ow hos bcen inspected and appmved. <br />❑ Please contoct inspector and arranqe far appointment. <br />� Wos nat able lo perform in•penirn. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour notice required. <br />� �� !�% %�'�C �� _ <br />-- �* / 1 - ,-.� �'v c� �=�` +� <br />u� <br />-- - -- , -- - � ---oa«�1'�—' — <br />,, <br />i�si,«�o� ��Q. — <br />I was presrnt during Ihis inspeelicn. <br />