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11 ;t3, NOTICE <br />AND INSPECTION REPOT r <br />everelt !7 <br />eAddress_ �/l/L/ ,0 e> �q} 3� <br />Contractor '1 — <br />Requested by ---- <br />TYPE OF INSPECTION REQUESTED <br />i <br />❑ BLDG: Prot. No. ❑ MECH: Pmt. Nc <br />❑ ELEC: Prof. No. ❑ PLBG: Prof. No.. <br />❑ Footing ❑ Framing ❑ Branch Circuit <br />Foundation ❑ Drywall Nailing ❑ Furnace <br />❑ Concrete Slab ❑ Rough -In ❑ Final <br />❑ Fireplace and Chimney ❑ Service ❑ Other <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved <br />❑ APFROVFD FOR OCCUFANCY subject to certificate of occupancy. <br />❑ Work listed below has been inspected and oppr ned. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was no' able to perform inspection. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour notice required. <br />Inspector` —_ — Date_/ <br />`I was present during this inspection./ 1 <br />e3l.•5 <br />