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(_. .-- <br /> . _. --_� _�.�� <br />� <br /> P <br />� <br />�� <br />� <br />` <br />` <br /> P��T�C� <br /> AND INSPECTION REPUR�' <br /> evcren /]��J��� _ � <br /> � Address� � <br /> Cuntroc!or <br /> Own�r <br /> Requcsted by—� --_ <br /> TYPE QF INSPECTION REQUESTED <br /> "�� uLDG: Pmt. No. --- ❑ MECH: Pmt. No.-------' <br /> µ� p PLBG: Pmt. No.�--- <br /> ,❑�ECEC: Pmt No._.—�� <br /> � Froming ❑ Bmnch Circuit <br /> ❑ Footing Furnace <br /> � Faundation ❑ Drywall Nailin9 � Final <br /> ❑ Concretc Slob ❑ Rough-In � Othcr <br /> � Fireplace a�d Chimney ❑ Service ❑ —_ <br /> ❑ APPROVAL ❑ PARTIAL APPkOVAL <br /> ❑ V�OLATION ❑ CORRE�TION REQUIRED <br /> ------- <br /> � ❑ Corrections listed below MUST BE Ml�DE befcre work con be aCF�^���• <br /> � APP0.0VED FOR OCC�JPANCY sublect to certificate o( cccuC�ancy. <br /> [� Work listed bclow has bcen inspected o^d °olntmc t. <br /> � Plcose contoct inspecfor and arronge far app <br /> � Wos not ablc ro perform insptttion. hour notice required. <br /> ❑ CALI. 259-87 FOR REINSPECTIO� ' '� -- - - <br /> /Y`YL�JI <br /> __" �� <br /> L <br /> "_-__------_ <br /> ....-_--.-�-�� <br /> ___�� <br /> .. . -- - ---- ,__Datc � , <br /> Inspcdur <br /> H.as p�esent during this inspection. <br /> :,�; __-__—_ <br /> i <br /> I ' <br />