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NOTICE <br />AND INSPECTION REPORT <br />rvcrcti <br />�c <br />Owner <br />Address of buyinlding S O I �vA,3 i^�` Cwt wr <br />Contractor <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Prot. No. ❑ MECH: Pmt. No. <br />❑ ELEC: Pmt. No ❑ PLBG: Pmt. No. <br />❑ Footing ❑ Framing ❑ Branch Circuit <br />❑ Foundation ❑ Drywall Nailing ❑ Furnace <br />❑ Concrete Slab ❑ Rough -In mal / <br />❑ Fireplace and Chimney ❑ Service ❑ Other Iy W . <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can 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 inspection. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour notice required. <br />�• 6 <br />