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f�0'PIC� <br /> AND INSPECTION REPORT <br /> ivc,cn ,( ' <br /> /�ddress ���j � �� ����/-� /b-G�L'- � [� <br /> Controctor �yL-�1^Jf//:J(�� G~P�S T/L <br /> Ow�cr L� �Li-�Ni�� Gc�'�57� _._ <br /> Requcsted by _ <br /> TYPE OF INSP[CTION REQUESTED <br /> [;�pLDG: Pml. No. � Z� d' ❑ MECH' Pmt No. __ <br /> ❑ ELC-C: Pmt. No. ❑ PLBG: Pmt No. <br /> ❑ Footing �mming ❑ Bronch Circuit <br /> ❑ Foundotion ❑ Drywall Noiling ❑ Furnace <br /> ❑ Cancretc Slab ❑ Rough-In ❑ Fincl <br /> ❑ Firo,lacc ond Chimney ❑ Scrvicc ❑ Othcr <br /> ��'APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before wnrk ean be opproved. <br /> ❑ APPROVED FOR OCCUPANCY subject to cerlrficate of occupancy. <br /> ❑ Work listed below has been inspected ond approved. <br /> ❑ Please conmct inspectar ond arron9e for oppointment. <br /> . ❑ Was not able to perform inspection. <br /> ❑ CALL 259-8745 FOR REINSPECTION — 24 hour noticc requircd. <br /> _� <br /> _ _ / __ <br /> / '.,�� i / :_/__ <br /> t�,<r-c�<,____� �PF/ Do�e �c�_—s� <br /> I wos prcsent during Ihis inspeetion� �� <br /> ..._.. ..i� <br /> i <br /> � <br />