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�OV'9�� <br />AND INSPECTION REPORT <br />/.G' .: .i, <br />Own�r_. :�,!.� C_.c.. � <br />; i. <br />Address nf 6ui;dirq �y'_'Z � '- .f �'� - - <br />�, // -, l) . . --_- _ <br />_._ -_-_- __ -- — �—_ <br />TYPE OF INSPECTION REQUESTED <br />❑ I;LDG� Pmt. Nn '���,)' ''�;- <br />� Mi:CFI: PmL No._._ _______— <br />j� iiLrC� Pml. No._ _ ��PLCG: Pmt No_—`__..______ <br />❑ Foutin9 p Fromin9 ❑ Cmnch Circul; <br />❑ F�unJation �] Drywoll Noiling ❑ Fumacc <br />❑ Conactc S!ab [J Rcugh-In � FincJ <br />-❑ Pireplace and Chimncy ❑ 5�=rvice ❑ Olher ______ <br />. . _.._--_-___-_-'__—_ —'_ <br />-_'_-___"_ _ _ _' . . <br />` APPROVAL . - ` <br />❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORkECTION REOUIRFD <br />❑ Carrecficns li;ted bcicw MUST Bf: 7ri.iGc beL�re x�.�l; cr.n be opprovuri <br />❑ APPROVED FOR OCCUPANCY subject to eerti.�_,:;o oi :�:c�u,-.a�icy. <br />� Wnrk Iisled bolow hos been inspccted ond appr.;r�l. <br />❑ Pleesc cantoct inspcctor ond arron9c fcr opp_inr:nnr <br />❑ Was nol oble to perform inrpttticn. <br />❑ CnLL 259-B7A5 FOR REINSPECTION - 24 hcur n:,licc m,u�rcd. <br />'�^_4<e�C - ,� ` <br />--� "'`-- <br />� <br />--- ---- - — -- �- - <br />Inspccfcr �C- � �'!2.-�c�-�-' `�� � �� � <br />_Dotr_ i�. _, - . " <br />I was presrnt durinp this insp•�cti;�.��.� <br />�_:.n <br />