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evcrcn <br />� <br />wo�ric� <br />AND INSPECTl6N REPORT <br />Owncr—_—(,�LI_ i�JF(�%�Ll."`'lil'___—_—___..__— <br />z L� x <br />Addres5 of buildin9�- � U --✓�zp--��--'�- 5/ <br />_ . - �% � (� <br />TYPE OF INSPECTION REQUEST[D <br />BLDG: Pmt. No.__ '— ❑ M[C`i: Pmt. No._—. <br />❑ ELEC: Pmt. No._ '��� — ❑ PL6G: Pml. No._ —_---- <br />❑ Fwtin9 ❑ Fmming ❑ Br:mch Circu'�t <br />[J Fcundatirn ❑ Drvwoll Nuiling 0 Fun'�acr <br />p Cancrctc Slob ❑ Rcugh-In [rfii:�l <br />❑ Fircoloce nnd Chimncy ❑ Scrvice ❑ Oiher_--.__--- <br />❑ APPROVAL ❑ PARTIAL APPRO`.`AL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />__--- ----- __-� --==_ --__=`-- <br />(] Corretticns lisicd belnw MUSi B` MAD[ befcre vro�k t.:n be approvel. <br />❑ APPROVED POR OCCUPANCY subjtet to ecrNfirctc cf cceu��.ency. <br />[] Work listed belew has bcen inspeUcd and opprcved. <br />[J Please eonmct inspector ond arran9e for appainim��nt. <br />� Wos not oblc to perfcrm in=�mcticn. <br />[] CALL 259-B7A5 FGR REINSPECTION — 24 hour n:tiee requireJ. <br />- -- � �,- �--�_v �� ---- <br />Q <br />I waz present durin9 this inspection. <br />