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evercn <br />� <br />9dOTi�E <br />AND INSPECTION REPORT <br />rn�, �%�� �} (� � <br />l�ddress_�./ - (�� -l/ <br />� _ _—_— <br />Controttor �`� .'� � � —�� -� _ <br />Requested by . <br />/ T�PE OF INSPECTION REQUESTED <br />�"4_�LDCi; Pmt. No. �� Zl -7� [] MECH: Pmt. Na <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No.. <br />❑ Footing ❑ Froming � 6ranch Circuit <br />❑ Fcundoticn ❑ Drywall Na;lin9 ❑ Furnace <br />❑ C^nucte Slab ❑ Rough-In �Fina� <br />❑ Fireploee ond Chimaey ❑ Serviee ❑ ather <br />.�` APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Carre[tiuns li.ted beiow MUST BE A1l�DE befcre wcrk [an be apProved. <br />�APPROVED FOR OCGUPANCY subject ro certificate of octupancy. <br />❑ Work lisfed below has bcen ins0ecied and opproved. <br />❑ Please contact inspeclar and arronge (or oppointmenf. <br />❑ Was not oble �o perfcrm inspeeticn. <br />❑ CAL� 259-8745 FOR REINSPECTION — 24 I:our notice requircd. <br />