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�y NOTICE <br />AND INSPECTION /REPORT <br />everen Address <br />�t <br />Con,roctor <br />Requested by <br />TYPE OF INSPECTION REQUESTED <br />❑ MECH: Prot. No. <br />❑ BLDG: Prof. No.-- ❑ PLBG: Prof. No---- <br />FrMC: Prot. No ---- Branch Circuit <br />❑ Footing ❑Fraying Furnace <br />❑ ough•In Foundation ❑❑ Dough- Nailing g-Frml <br />R <br />[] Concrete Slab ❑ Other—� <br />p Fireplace and Chimnry O Service <br />❑ APPROVAL ❑PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRES D <br />c ❑ BE MADE before work can be approved. <br />Corrections listed below MUST <br />❑ APPROVED FOR OCCUPANCY subject to certificate <br />r��•ol oa:uponcy. <br />❑ Work listed below has berr" Inscingedand lo appointment. <br />ElPlease contact inspector <br />❑ Was not able to perform Inspection. 24 hour notice required. <br />1-3 CALL 259.8745 FOR REINSPECTION <br />_Da, <br />I was present during this Inspection. <br />