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��rri•II ������1 tl I1�tl � ��la �I� f <br /> f�'�''�� .�" i / �'-;'.. _ . <br /> ' ' '�i.;��✓_����_�. . - <br /> . . ., . . - .1 =i_�.��- <br /> ..���=-��-- ._ <br /> �. .e�actcr_. -i <br /> ! < < ' <br /> . ���.ncr---_ __' _—__—.. <br /> . ..'e_—__ . . ._ �,`'_ -'"_ _/ _-L- <br /> .:--____'_-___.._—_,"'____ <br /> TYPE OF INSPECTION RI:QUESTED <br /> i iiLD.� F�nt. No._ _ ._.------_ ❑ MF.CH: Pint. P1- .- <br /> ..� fLEC: fmt. No.___.__----.— <br /> �/PLE'�: Fmt. N-. . . . - . <br /> , . V M�srnry ❑ I�tiiJ.:'. � <br /> � '. F�.�ucin9 I! Grnvr��. <br /> . Fc..linn ❑ F�omin9 . <br /> ���`, f-� unl-ti n C; Drvwoll Noilinn �f Crna:l'.- <br /> . [J Fcugh-In �-�'^O� <br /> Scrvicc ❑ Othcr_ - <br /> f .., ..� ar�i Chimncy ❑ __ _ -__ . <br /> r � PhRIIAL APPROVAL <br /> 'x i�l';'ROVAI _, <br /> � VIOLI�"fIOW ❑ C�RRE��TION RCOI iIR�� <br /> �, � C�rte<ii�-ns li;ted bclow hAUST BE Ml�CE bcf'ra� �� � � � ' �� <br /> � Work lismd bclow hos bren in=.pcU�d `oA orpr.� <br /> I Plrosc [onto[I inspeetcr and nrran�e for cnF'�'�N� ' <br /> ' Vlus n�t ablc t� pc<<�nn inrpcc��ui. <br /> � CALL 259-887U FOR. REIfJSPECTION -� 24 ��� �.� � <br /> , . . i �, ,.., .ancY. <br /> , - .�rnle ol Oaupanry :I�oll bc issucd a��d lusi;� . ' <br /> .[�'_/!�_ _ _—��L� �-%�� <br /> / �: <br />