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rvcrctl <br />� <br />IdOT10E <br />AND INSPECTION REPORT <br />Owncr�'�__,�_�S��f <br />�J�.1— ___—__ _ —_____ <br />Addresz of building 3�Z i y f/ Q" �� �G� / <br />Confroc�or� ° ' _ <br />TYPE OF INSPECTION ilEQUESTEU <br />.R-BtDG: Pmt. NN��__/�__ ❑ MECH: Pmt. N�._ <br />❑ ELEC: Pmt No._ ❑ PLBG: PmG No.__ <br />n Foofing ❑ Froming � Dronch Circuit <br />❑ Foundation Drywall Noilin9 ❑ Furnace <br />❑ Concrete Slab �ou9h-In ❑ Finol <br />❑ Fireplace and ChimneY ❑ 5^rvice ❑ Other .___ ___. <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Carreclions listed celow MUST BE MADE be(are wark ean be appruved � <br />❑ APPROVED FJR OCCUPANCY subject ro certificote of oceuponcy. <br />❑ Work listed below hos beer, inspected ond opprowd. <br />❑ Pleose eontect inspector and orronge for appoinimcnt <br />❑ Was not oble to perform insVe[ficn. <br />❑ CALL 259-8745 FOR REI�.�PECTION — 24 hour noliec required. <br />V^T ,, ' A i . <br />_._—__; _�e? Z Y�w�� /��-�G___.�' (�-�_. . <br />/ �� I � ___... <br />I <br />� <br />. - - / G -� �� "7= ` <br />Inspcttor <br />r=�•6 <br />I was�scnt during this inspeetion. <br />i/ _ �:L,� . � <br />-zn��__ �c'_�-��-.- <br />