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�!�►1'ICE <br />AND INSPECTION REPORT ' <br />c�cren � <br />� Owncr_ ( lil/S�i ----'_'_----' <br />Address o buil�ing � � Q�3� �`T'� � `'�� _ <br />� Ccntractor� �� ' `�� _ <br />TYPE OF INSPECTION REQUESTED <br />!� Pmt. No. � q� �� N ❑ MECH: PmG No, <br />❑ ELEC: Pmt. No. ❑ PLBG: Fmf. No. <br />(� Footing ❑ Framing ❑ Branch Circuit <br />❑ Foundaticn ' rywcll Noiling ❑ Furnacc <br />[_', Concretc Slab ❑ Rouph-In ❑ rinal <br />❑ Fircploce and Chimney ❑ Scrvice ❑ O�her _ <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correctiens listed belcw MUST OE MADE before wurk can be apP���ed. <br />❑ APPROVED FOR OCCUPANCY subject to ccrtificatc cf cccuponcy. <br />❑ Work Iisted bclow has been inspceted and approved. <br />❑ Plcase contacf inspcctor and orrangc fur appointmcnt. <br />❑ Wos not oblc to perfarm in=pectian, <br />❑ CALL 259-8745 FOR REWSPECTION — 24 hour notiec rcquired. <br />�iJl� �, � <br />��� -- <br />--/_� c��Ce,�c�_�—�i_ �c.�Lf—a'e��--�,-..�--- <br />-. t.c.d�� -- --- ---� . . <br />- ��>�,� 1 ,✓�'�-�-!' - -�`_`'� - <br />-�� --� .-- : - . - - <br />7---- <br />�,,;�«<�, � <br />-.�.—_..._. __.�_....... <br />�'- _ <br />