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- �CA <br />�° NOTICE <br />AND INSPECTION REPORT <br />Address____— 249ok (rJ 1 <br />Contractor <br />Owner_ <br />Requested by <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. zkp MECH: Pmt. No <br />❑ ELEC: Pmt. No ❑ PLBG: Pent. No <br />O Footing r] Framing p Branch Circuit <br />[ Foundation ❑ Drywall Nolling ❑ Furnace <br />❑ Concrete Slab ❑ Rough -In %Q-EWW--/ <br />• Fireplace end Chimney ❑ Service ❑ Other- <br />) APPROVAL L7 PARTIAL APPROVAL <br />VIOLATION p CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved <br />qWAPPROVED 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 />j] CALL 259.8745 FOR REINSPECTION — 24 hour notice required. <br />..ag..g <br />