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evcretl <br />� <br />P�90T�C;� <br />AND INSPECTION REPORT <br />y-,�=� S <br />�'�- <br />Address—����' �� y` <br />T 4c <br />Contmcror � ��°��— <br />own�r ( / ��%G11� �lL�- �I- C�,�'Gil�.�—n <br />Requcstcd by <br />TYPE OF INSPECTION REQUESTED <br />;] BLDG: Pmt. No. ❑ MECH; Pmt. <br />�f E�EC: PmL No.T j� � ❑ PLBG: Pmt. <br />❑ Feotinq ❑ Froming ❑ Braneh Cireuit <br />D wall Nailing ❑ Furnoce <br />�] Foundation ❑ �Y <br />❑ Ccncrete Slab ❑ Rough-In ❑ Finol �_ y � <br />❑ Fircplacc and Chimncy ❑ Scrvice ❑ Othcr — — <br />�/�APPROVAL ❑ PARTIAL APPROVAL <br />VIOLATION ❑ CORRECTION REQUIRED <br />� � Cerreclions listed below A1U5T BE MAD: before wark mn be apP�ovcd. <br />p AFPROVED FOR OCCUPANCY subject to certificate of occupancy. <br />� Work listed below has been inspected and approved. <br />❑ Please eontact inspector and orrange for appointment. <br />� Woc not able to perform in�pecticn. <br />❑ CAIL 259-8745 FCJR REINSPECTION — 24 hour notiee required. <br />--- (l�� ��� ��6�[�l C"� ---- <br />� <br />�- I wos pmsent during this inspection. <br />