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� <br />i,��� <br />l �� � <br />❑ 6LDG: Pmt. <br />[7 ELEC: Pmt. <br />��iIC� <br />AND INSPECTION REPORT <br />��.��� � ��-I� _- � <br />Address_ �- _ � i �_. . <br />Controclor_ � � <br />Requcsfcd by <br />TYPE OF INSPECTION REQU[STED <br />❑ MECH: Pmt. Ne—_ _. <br />.{�-PtOG: Pmt No.__-1�_� � -�-- <br />❑ Fooling ❑ Foming � pmnth Cirtuit <br />❑ Foundoticn ❑ Drywoll Nailin <br />g ❑ Furnocc <br />❑ Concrete Stob ❑ Rough-In -�-pp�� <br />❑ Pircnlace ond Chimncy � Service j] Other______,___ <br />�] APPRO'VAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />__:<=,_ — —_=---- <br />❑ Ccrrectians lis�ed belew MUST BE MADE br.fare wmk ean be approved. <br />_�[.j APPROVED FGR OCCUPANCY subjeci b cerli(icote of occuponcy, <br />���8 Work lisled bdow hos becn inspectcd and apprcvad. <br />❑ Please contoct insnector ond ormn9e (or oppointmznt. <br />❑ Was not oblc to periorm inspetticn. <br />❑ CALL 2j9-8745 FOR REWSPECTION — 2S hour n-iiec r,quired, <br />In pcc <br />wos prc nt during this insVecticn. <br />' ' �/ � i � <br />_ �'�%�^ !N� j �/���c��. <br />-- — - - ?'",� <br />.J — — <br />