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cvcrrtt <br />e <br />I�lOTICE <br />AND INSPECTION REPORT <br />Address����u�� _ <br />Contractor <br />Owncr__ <br />RcQucstrd Ly_ <br />TY��'P,,,���E ///O/F� IIVSPECTION REQUESTED <br />�J �LDG: Pml. No.�([[y� � MECH: Pmt. IJo._ <br />❑ ELEC: Pmt. No. � �� � <br />❑ PLBG: Pmt No. <br />❑ Peoling �.iromin <br />9 � Oronth Circuit <br />❑ foundoficn ❑ Drywali Nai�inp � Pumocc <br />❑ Concrc`c Slob � Rough-In � Finol <br />❑ Fireplacc ond Chimncy ❑ Servicc ❑ O!hcr <br />❑ APPROVAL � pARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Cerrections liricd bclow MUST BE MADE be(ore work con be oppmved, s <br />❑/�PPROVED FOR OCCUPANCY subjcu m eertilieotc of atuponey, <br />❑ Work listed bclr,w hos 6een inspeetcd and ovPrwcd. <br />❑ Plcase eontacl inipector and arrange 1er apPointmrnf. <br />❑�'✓as not able �o perkrm in•pection. <br />❑ ChLL 259-8745 FOR REWSPEC710N — 2l hour no�ice requirecl. <br />