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NOTICE <br />AND INSPECTION REPORT <br />everen <br />Acen Q c <br />Owner ,,ttno <br />Address of building e <br />Contractor ��� <br />TYPE OF INSPECTION REQUESTED <br />j�BCW: Pmt. No.49-,Ez — ❑ MECH: Pmt. No._.------ <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No._------ <br />❑ Footing aming ❑ Branch Circuit <br />❑ Foundation ❑ Drywall Nailing ❑ Furnace <br />g Final <br />❑ Concrete Slob ❑ Rough -in ❑ Other_----- <br />❑ Fireplace and Chimney ❑ Service ❑ <br />❑ APPROVAL W.PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ APPROVED FOR OCCUPANCY subjer-t to certificate of occupancy. <br />❑ Work listed below has been Inspected and approved. <br />❑ Please contort Inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />I;j.EM--r259-874s FOR REINSPECTION — 24 hour notice requirred. <br />_ n Q. , _ i _ -,Q . _��%i W lie/ _ <br />