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�9�`Y6�� <br /> ����,�n AND NSPECTION REPQRT <br /> _ l�ddress__��/'���t�l__���---- <br /> Conhoclor <br /> Owner <br /> ___ I:equcsred by <br /> --�— <br /> � T E F INSPECTION REQUESTED <br /> BLDG: Pmt. No. <br /> ❑ EC: Pmt. �Io. ❑ MECH: Pmt. No,�_ <br /> —�-- ❑ PLBG: Pmt No.__ <br /> ❑ Foofint� <br /> ❑ Fromin9 <br /> ❑ Foundotion D woll � Bronch Circuit <br /> ❑ Concrctc Slob �ry Nailing ❑ Furnocc <br /> ❑ Fircplace ond Chimncy � ough-In � Pinol <br /> --__-____ ❑ Scrvice ❑ Olher_ <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> _ _ ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrcction, listed beluw MUST BE MADE beforc work con bc opP�a��� <br /> ❑ l�PPROVED FOR OCCUPANCY subject to certifimtc of cccunaney. <br /> ❑ Work listed bclaw hos been inspeefed ond opproved, <br /> O Plcase eonto�f inspector ond arronge for oppainlment, <br /> ❑ Was not oble to perform inspecticn, <br /> ❑ CALL 259-87q5 FOR REINSPECTION — 24 hour noiiec required, <br /> —�_-__ <br /> — �_ - <br /> �'icP�ctJr_ _'� � ��� — —._. 1 _ <br /> Datc_.E _ <br /> � was sent ring this inspeetion. <br /> . . `�i ,:.�s <br />