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' <br />( <br /> P�IOTI�E <br /> AND INSPECTION REPORT <br /> �,��,�n <br /> � Owncr_ <br /> Address of buildin9 <br /> Centmctor _ __ <br /> TYPE OF INSPECTION REQUESTED <br /> � BLDG: PmL No. ❑ MECH: Pmt. Na.---- <br /> I � ELEC: PmL No. ❑ PLBG:�Pmt No._--- <br /> F ❑ Footing ❑ Froming ❑ Bronth Circuit <br /> ❑ Fa�ndation ❑ Drywall Nuiling ❑ Fumacc <br /> ❑ Concrete Slob ❑ Rough-In ❑ Finol <br /> Othcr <br /> � Fireplace ond Chimney ❑ Service ❑ _ _ _____ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED _ _ <br /> ❑ Corrections listed belaw MUST BE Iv1ADE befcre work ean be app�cvcd. <br /> ❑ APPROVED FOR OCCUPANCY subl<ct lo tmtifi�cocc� of occupancY. <br /> � Work listeti bclow has bcen inspected and app <br /> � Please eontaet insDector end arrange for appointmer�t. <br /> �] Wos not able m perfarm i��Peeticn. <br /> � CALL 259-8745 POR REINSPECTION — 24 hour nolite requircd. <br /> —��— — <br /> Date--------- <br /> Irupeeror—_ --�— � <br /> I wos pre;ent during ihis insDection. <br /> ..... '6 ___ —_ <br /> I <br /> I <br /> i � <br />