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NOTICE <br />AND INSPECTION REPORT <br />Owner—r�—rs�rt <br />Address of building—/ - - <br />------ <br />TYPE OF INSPECTION REQUESTED <br />n MECK Prot. NO <br />J6'": Pmt. No. ❑ PLBG: Prot. No. <br />❑ ELEC: Pont. No.---------' n Branch Circuit <br />Footing ❑ Framing <br />❑ Na <br />in in-aw iling Cj Final <br />ocr <br />❑ Foundation ❑ Rcugh-In ❑Final <br />❑ Concrete Slab S;rvice ❑ Othor------- <br />❑ FimPloce and ChimneY ❑ _ -- <br />APPROVAL ❑PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />® roved. <br />� ❑Corrections listed below MUST BE MADE before work can be app <br />❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br />❑ Work listed below has been Inspecled and appr me . <br />❑ Please contact Inspector and arrange for opP <br />❑ Was not able to perform Impaction. <br />❑ CALL 259.0745 FOR REINSPECTION — 24 hour notice required- <br />-x ` <br />12 <br />Y <br />.4We <br />