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evcrcn <br />� <br />h�OTICE <br />AND INSPECTION REPORT <br />Owner_.__.�� �._.._ Lr-�1K�ti' � C, <br />—�� —__..—______--- <br />AAdres: of building_'`� "�C�.'__��7� ��/ �� � <br />—_�_ <br />— Cr.ntraCtar_ � K �____ <br />TYPE OF INSPECTION REQUESTED <br />❑ oLDG: Pmr. No_— <br />1 ��? ❑ MECH: Pmt. No.'— <br />❑ ELEC: Pmt No. .. � <br />� — ❑ PLOG: Pmc No._ <br />❑ Fcwting — <br />❑ Pramin9 Bronch Circuif <br />❑ Foundation ❑ <br />❑ Concretc Slab � ��'WOII NailinS ❑ Fumocc <br />❑ Rouqh-In [] Finol <br />❑ Fireplace ond Chimnc '� <br />__ _�____ Y [}3cn�ice � Othcr_� <br />-------------_ -T� �-._�( �.- <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />_ ❑ VIOLATION ❑ CORRECTION 12EQUIRED <br />�-----_-------- <br />❑ Cerre[tions listed brir,w MI�ST �E MACE before work con br ��+�rcved. <br />❑ AFPRCVED FOR OCCUPqNCY subjeG ta tertiFicate of occupc.ncy, <br />❑ Work lisled below hos been inspecfed and approvcd. <br />❑ PleaSe �onfecf inspecicr ond orronge (or oppcintmcnt. <br />❑ Wos not ablc to perfcrm inspccticn. <br />❑ CALL 259-8745 FOR REf$'rcCfION —� 24 hour nolice required. <br />_ ___�� lt _ �z-� �----�`���c �_�---- - <br />� <br />_ _----[� /�/,� ,-- ------ -- --- - <br />Inipeeror. �Q�i.__��—�7-CfP.� .Dofa � � �5�' 7� . <br />I was presenl durin9 this inspectien------��— <br />•'=:3�� a <br />