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���«�, o�������9�N �E���T <br />A C, / / <br />A(ldres5l—� �� � _ �T�f l � `d ____ _ __ _ <br />� I%�� /`--'����-�L✓yJ�-'— <br />C:�nhaCtcr�) `_ n/�✓�__ _ <br />Cwncr V ��%�%/LlQ,�J ��JC�i'��j�%u <br />u.;,�.- -�z /-��� ���--- --- <br />- ---- - <br />- -- -1-_ - <br />TYP-E� �OF� �IN�,SPECTION REt�UESTED <br />LYBLDG� Pml. No.�Le�� [] MECH: �'�nC No—____ <br />❑ ELEQ PmL No.______ � PLBG: Pmt No._--____. <br />I�i ��-u;iny �] Ma;cnry � Insulotici <br />(� Fontin�� [J Frumin9 rl 6rcundwa¢ <br />❑ Fcundotinr, rywdl Noiling ❑ Crn:ultotian <br />❑ Scwer ❑ Rou�h-In ❑ Finol <br />❑ Fireploce und Chimncy ❑ Scrvicc [] Othcr ._.___ <br />'__-___-__—______-___ ___—______-_ __. .._.. <br />��PPf:OVAL [', PARTIAL APPROVAL <br />❑ �'IOLATION � CORRECTION l2EQUIRED <br />[J Correelians :isled bclow MUST 6E MADE befcre work cnn be approved, <br />[J Work li:ted belcw has been in;, eded and apprcveJ. <br />[] Pieose ..ntoct inspecMr and orren9e fer oppointment. <br />❑ Wos at ablc to ocrform insp¢ticn. <br />❑ CALL ?5'.'-8870 FO-: REINSVECTION - 24 h::ur notice nnquircd. <br />A Certifieate of C. 'wan�y sholl be issucd and pasted cn the premises prier tn a<eupaney. <br />_--___. - ). _ _ _ �__�- - . .._ <br />/ <br />.___-__ ._.-_' __ �! ._. <br />- . _. . .' __'—_ <br />_ / <br />—_ _ -. � _.__. __ _. _' _'-_._ _- <br />. ..__' —_ . __'_ <br />.' __ .._. _ _ <br />Ir �:clar_ // /� � �� . . .� ... <br />- G �-4�C-�-L� _. .__ _ <br />�.' <br />� <� <br />D te --L� ,�---- <br />