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NOTICE <br />AND INSPECTION REPORT <br />evereM <br />Address_ ZLl `�—�y`1 <br />Controctor _� 7 <br />Or — <br />Owner - -- "— <br />Requested 1111- <br />TYPE OF INSPECTION REQUESTED <br />❑ MECH: Pmt. No. <br />BLEC: Pmt. No._ ❑ PLBG: Pmt. No._—�--- <br />❑ ELEC: Pmt. No.--- <br />❑ Framing ❑ Branch Circuit <br />inflation ❑ Drywall Nailing ❑ Furnace <br />C[3Co final <br />❑ Concrete Slab ❑ Rough -in ❑ Othor� <br />❑ Fireplace and Chimne/ ❑ <br />❑ APPROVAL [] PARTIAL APPROVAL <br />❑ VIOLATION CORRECTION REQUIRED <br />❑ Currections listed below MUST BE MADE before work can be approve°• <br />❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br />❑ Work listed below has been inspected and approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform Impaction. <br />❑ CALL 259.8745 FOR REINSPECTION — 24 hour notice r.luired. <br />�z <br />Date <br />