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� <br />evcrrtt <br />� <br />G�1�VE�� <br />AND INSPECTION REPORT <br />AdAress �_�U�� �Tbl /y�(_ S� L_. <br />Contmcror �� (3 �L �j � (� --�— <br />Owncr <br />Fcqucsted by _ _ <br />TYPE OF INSPECTION REQUESTED <br />�BLDG: Pmt No.4'S,� p MECH: Pmt No. <br />❑ ELEC: Pmt. No. ❑ PLBG: Pmt. No. <br />� Pooting ❑ Froming � 6wnch Grcuii <br />❑ Foundotion [�Jrywall Nailing � Furnac• <br />❑ Concretc Slab ❑ Rouph-In ❑ Finai <br />❑ Fireploee ond Chimncy ❑ $ervice ❑ Oihcr.___ _ . _ ____ <br />�L APPROVAL ❑ PARTIAL APPROVAL <br />►�j `✓IOLATION ❑ CORRECTION REQUIRED <br />❑ Cortections li;ted bcicw MUST BE MADE before work mn be approved. <br />❑ APPROVED FOR OCCUPANCY subject to cerlificate of acuponcy. <br />❑ Work listed below has bcen inspected ond opproved. <br />❑ Please conloct inspecfor and arran�e for oppointment. <br />❑ Wos not oble to perform inspection. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hcur notite requimd. <br />In;p: -,..r_ <br />,. � <br />I was present during this inspcction. <br />