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i <br /> NOTICE �� � <br /> AND lNSPECTION REPORT <br /> everetl n <br /> � Address -�I O 9 nC3 � /�UF W <br /> ControCror �«�RS��F .�LUM[3//U�r' <br /> owncr �j'Ls�E ��� �-Li4 Q A <br /> Rcyucsted by <br /> TY�E OF INSPECTION REQUESTED !Q <br /> ❑ BLDG: PmL No._ ❑ H: Pmt. No�a�o� <br /> ❑ ELEC: Pmt. No. PLBG: Pmt NC'� <br /> ❑ Footing � Froming ❑ Bronch Circuit <br /> � Faundation � Drywoll Nailing ❑ Furnoce <br /> �❑ Concrete Slab � Rough•In ❑ Final <br /> �ireplace ond Chimney ❑ Service ❑ Other <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisfed below MUST BE MADE before work con be approved. <br /> � ❑ APPROVED FOR OCNPANCY subject ro ccrtificalc of occupaney. <br /> �� Work listed bcicw hos been inspected and opprovcd. <br /> � Please contact in50«<or ond orronge for appoinfinent. <br /> ❑ Wos not able to perform in�pection. <br /> ❑ CAIL 259-8745 FOR REINSPECTION — 24 hour notice required. <br /> _71��"��'-S!v� l �yL.7��AJ <br /> --- �".�2� ` .�.,,�.J -3�. <br /> �„<����,,�-- �— _oa« <br /> I wos present during this inspeetian. <br /> � �'�.,6 <br /> �� <br />