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r <br />NOTICE <br />everon AND INSPECTION REPORT <br />Address_ -, <br />t <br />Contractor t.-1 <br />Owner - <br />Requested by.�_aYTYPE OF OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. <br />❑ ELEC: Pmt. No,_— ❑ PLBG: Pmt. LBG: Pmt. No. <br />❑ Footing ❑Framing <br />❑ Foundation El Branch Circuit <br />❑ Concrete Slab ❑Drywall Nailing ❑ Furnace <br />El Fireplace Rough -In ❑ Final Fireplace and Chimney ❑ Service QV <br />❑ Other._;L� __ it 3 <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work con be approved, <br />❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br />❑ Work listed below has been inspected and approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspecticn. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour notice required, <br />/ <br />1/ 0 O - i977 <br />------------ <br />Inspector <br />_Date <br />I was prese4d,his inspection. <br />�•fi <br />