Laserfiche WebLink
NOTIC� <br /> AND INSPECTION REPORT <br /> everclt .�/ <br /> � l,urlress�s��i �� `�.�w! � <br /> Ceniractcr_�Ll.� -- -- <br /> Cwner 1�d �C� _ �`cJ/�- <br /> R:qucsted by -- <br /> TYPE OF INSPECTfON R[QUEST[D <br /> "� GLDG: Pr,�L W� [; A�1El;H: Pmt. No._ <br /> p( ELLC: Fml. N��i����' ❑ PLBG: PmL No. <br /> �� Pnolin� ❑ Fmrning ❑ Bmnch Circuit <br /> i7 Pmm;:cli�:n ❑ Cr1'w.:ll Nciling ❑ Furnacc <br /> [��� C�ncr��tc S!cb ❑ Rcu�h-In ❑ Pinol <br /> �] Fireplccc ond Chi,:�n��y ❑ Scrvicc ❑ O�hcr <br /> ��APPRO\'AL ❑ PARTIAL APPROVAL <br /> ❑ VIOLAI"ION ❑ CORRECTION R[QUIRED <br /> ❑ C^rrections lisicd brlow N�UST OE MADE belore work ccn be appmved, <br /> ❑ APPROVED FOR OCCU9ANCY wblect ro certiticote of occupanty. <br /> ❑ Wark Iisled belrnv hns heen insnecicd onJ oppicred. <br /> ❑ Plrase amtact in,fectar ond orrange for appoinlment. <br /> ❑ \Na; nol aL'Ic to per(.rm inrpect¢n. <br /> ❑ GLL 259-87A5 FOR R[INSPECTION — 24 hour notice requircd. <br /> - �<'<�_-E�'-�---7—tL__CG`�cJ_��— <br /> �fj� -- /j� � /� ----- <br /> i��.-.. .:'.r. -(�'�..LE«—`��x.-Y..[:-e�-- --Dafe� - L-S-�� <br /> '� I w�s prescnt durine� Ihis insDecticn. <br /> .-�';�. f '_'—__--_' <br />