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. <br /> NOTICE <br /> AND INSPECTION REPORT <br /> � U Address�/� / stc7 Q�PC� � (J _ <br /> co�<<a«o� <br /> ow��� _— <br /> Requested by _ <br /> TYPE OF INS�ECTION REQUESTED <br /> ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No. <br /> � ❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No <br /> ❑ Footing � Froming � Branch Circuif <br /> ❑ Fcundaticn �p Drywoll Nalling ❑ Furnace <br /> [ Cencrete Slob �� Rough-la ❑ Finol <br /> ❑ Fireploce rnd Chimncy ❑ Service ❑ Oiher <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ' ❑ Correcticns listcd below MUST UE MADE bclore work mn be approved. <br /> ❑ APPROVED FOR OCCUPANCY subject to cerfificale of occuponty, <br /> � Work listed belew hos bcen inspected ond apprcved. <br /> ❑ Pleose eentnct insp"ctor ond armnge for oppointment. <br /> ❑ Was not able to perform inspeclicn. <br /> ❑ CAIL 259-8745 FOR REINSPECTION — 24 hour notice required. <br /> � — -- <br /> , , --'---�---- <br /> —--GiG�"�- " _ —6 "/ <br /> Inspcctar_. Dote <br /> I wos present during this inspecticn. <br /> ! <br /> .�P`i4.Ij <br /> s,:. ...._—_—_' ' _ <br />