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Nor�ce <br />,,,,,,,,n AND lNSPECTION REPORT <br />e ���_�� _____ <br />n�in,�•�:_ <, _ ,n[`' (C_ _ �'S S,F= <br />/,, �-r � ,[/ �,�/�� — <br />nwnrr-1��__I=L�Z CLilla-�1_—_—_._' <br />Grqucsled by___ <br />TYPE OF INSPECT;ON REQUESTED ' <br />��. 1 f3LDG: Pmt. No. ❑ M[CH: Fmt. No. <br />.�'j ELEQ Gmt. Na. ' � ' 'C _ -- <br />❑ PLBG: Pmt No. <br />f 7 R�otirq [� Frominq j] Bronch Circuit <br />i 7 Poundotlon ❑ Drywoll Nallin9 ❑ Fumocc <br />[7 foncrelc Slab ❑ Rouph-in ❑ Finol <br />f] �n��place ond ChimncY ❑ Service ❑ Oiher��lf1J`_ <br />(] APPROVA'_ [] PARTIAL AppROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Conecllons lis4�d 6elnw MUST OE M/�DE hefore work con Ln opprnvrA. <br />[] ��'�'RpVLD FOR OCCUPnNCY sublect �o eertificate �•( �.�.�,,,;��.y. <br />f_1 W�rk Ilsled bclow has becn inspeclyd and approvcA. <br />�) Pleosa mnlott inspce�ar ond ormnpc lo� oppointmcnt. <br />L) Wos n01 oble lo perla�m inspeclicn. <br />❑ CnLL 259-8745 FOR R SPECTION — 2� hour ni�tirr����qwrrd. <br />`� ��l��--�����— ( ;+— � �' <br />_ _ L�_._�r��� �.�1 <br />-� ��'�'� - � �f v_ c c9� _---- <br />L� � �p�r �_w1.�-�'4-1y-='�x'"i�--- . � _ { <br />I)�b� ��' �C:' _ <br />I wns preSeN Jurinq tMs in�.,.��t� n <br />