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everetl <br />e <br />NOTICE <br />AND INSPECTION REPORT <br />Address S�C� �/ ' S T � � � <br />Controctor /� � • '�� <br />Owner_��.f_ — � <br />( � <br />Rc�ucsted by <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. ❑ MECH: Pml. No. <br />❑ ELEC: Pmt No. PLBG: Pmt. No. 3Z� <br />❑ Foatinp ❑ Fromin{7 � � Branch Circuit <br />❑ Foundation ❑ Drywoll Nailing ❑ Furnuce <br />❑ Concrete Slab Yi`Rough-In ❑ Final <br />c <br />❑ Fireploce and Chimney ❑ Service ❑ Olher <br />�4PPROVAL ❑ PARTIAL APPROVAL <br />/ ❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ APPROVED FOR OCCUPANCY subject to certificote of xcupancy. <br />❑ Work listed bclow has becn inspected ond approved. <br />❑ Pleuse contoct inspecPor and orrange for oppointment. <br />❑ Wos not oble ro perform inspection. <br />❑ GALL 259-8745 FOR REINSPECTION — 24 hour notice required. <br />I was present during this inspertion, <br />�,�wfr <br />