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. <br /> i <br /> I <br /> � <br /> . ���0�� <br /> evcrctt <br /> AND INSPECTION REPORT ' <br /> � Address ���� �- ��5 � <br /> Htt ��A� <br /> Conim[tor �,��� , <br /> Owner �n ,/O!'1�L��S ' <br /> Requested by � <br /> TYPE OF INSPECI;ON REQUESTED <br /> ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No. <br /> Q ELEC: Pmt. No. - 7 �i r] PLBG: Pmt. No. , <br /> ❑ Footinfl ❑ Fromin9 � Bronch Circuit � <br /> ❑ Foundation � Drywall Nailing ❑ Furnocc J <br /> ❑ Concretc Slab � Rough-In p Finol <br /> – ❑ Pirep!ace ond Chimney ❑ $ervice ;J Other _ j <br /> �APPROVAL ❑ PA.FTIAI APPROVAL �J <br /> VIO��,i�UN ❑ CORRECTION REQUIRED , <br /> ❑ Corrcctions listed bclaw MUST �E MADE bcfore work ean be approved. <br /> ❑ APPROVED FOR OCCUPANCY subject }o ccrtificotc of occupancy. <br /> ❑ Work listed belaw hos bcen inspected ond opprcved. �� <br /> ❑ Pleose contoct inspector and ormn�e for oppointment. <br /> ❑ Was not able to perform inspecticn. <br /> ❑ CALL 259•B7a5 FOR REINSPECTION — 24 hour noticc requir/ed. I <br /> �t-'K'c5sa= G�r��-s `79�7— C-i�'� �S <br /> :� <br /> ��i�- r'f� C�_� • <br /> --- r'�--/-p}, <br /> Inspcct'r__,��""l� Da�e � ���` �� <br /> I was present during ihis ins�eetion. <br /> ..�-?�•f� ._._.___—___ .-_ <br /> I ! <br /> I � <br /> � <br /> J <br /> � <br /> _ ,�'. , . • _ .__ .—. _— <br />