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��/ � <br />ereretl <br />e <br />NOTICE <br />AND INSPECTION EPORT <br />AdAres: �_ <br />Controcror ' <br />Owncr <br />Reque:ted by <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. �����Sa�� MECH: Pml. Na. <br />❑ ELEC: Pmt No. ❑ PLBG: Pmt No. <br />❑ F����O ❑ Frominq ❑ Bronch Clrcuil <br />uundollan (�(�Qr.Q� � Drywoll Nailinp ❑ Furnocc <br />❑ Convefe Slab ❑ Rouph�ln ❑ Flnol <br />❑ Fireploce and Chimney ❑ Scrvice ❑ 01her <br />Q�.�PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />� Corrtcflun� lisled below MUST DE MADE befnre work con bo opproved, <br />❑ APPROVED FOR OCCUPANCV aib�ett to ttrtiflcola o( xcuponcy, <br />❑ Work Ilsted below hos been ins�ecled ond oppmved. <br />❑ Pleose contocl insPKtor and orranpe lor appdMmenf. <br />❑ Was not able lo perform In�pecuon. <br />❑ CALL 259�87�5 FOR REINSPECTION — 2� hour no�ice rcquired, <br />/--' � i � <br />�, , <br />_, <br />� �: <br />� �, , � ,, , , <br />.� <br />�_ �. - �. _ �; r�. <br />'_ ._—Y_._—".__.._—__""�/._ ...—_._ "'_'__'"'___. '._._'_ <br />.. _ _ _ _ __ . _ _ ____'_ ___. <br />. _ ' __ _.__ . __.. <br />Inspectnr__ �� — .I�Vi�E�4tL.Q�'__.Dnte� ..�� <br />I wo�resent durinp Ihis Inspccfion. <br />�y,f <br />t <br />;;.�7 <br />