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t <br /> NOTICE <br /> AND INSPECTION REPORT <br /> We <br /> Address <br /> Contractor_(_ <br /> Owner_—-- <br /> Requested by—� <br /> TYPPPE- F INSPECTION REQUESTED <br /> 'BLDG: Pmt. D MECH: Pmt. No.� <br /> x❑ ELEC: Pmt. No_-- <br /> ❑ PLBG: Pmt. No. <br /> mmoil [3 Branch Circuit <br /> � � ] Drvwoll Nailing ❑ Furnace <br /> ❑ <br /> Foundation Final <br /> ❑ Concrete Slab LI Rough-1, ❑ <br /> ❑ Other <br /> Fireplace and Chlmncy (, Service —__ ❑ <br /> PPROVAL L] PARTIAL APPROVAL <br /> ❑ viol-Al ION F] CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br /> ❑ Work listed below has been Inspected and approved. <br /> ❑ Please contort Inspector and arrange for appointment. <br /> ❑ Was not able to perform Inspection. <br /> ❑ CALL 259.8745 FOR REINSPECTION — 24 hour notice required. <br /> Dat <br /> Inspector <br /> I was present during this inspection. <br /> �•fi <br />