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NOTICE <br />everrn AND INSPECTION REPORT <br />L <br />REPOcRT <br />Address-3' -, z / — % , ', � S <br />Contractor_ <br />Owner �a-i�` <br />Requested by --- <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pml. No, ❑ MECH: Pmt. No. <br />I] ELEC: Prof. No rPLBG: Pmt. No <br />❑ Footing ❑ Framing ❑ Branch Circuit <br />I] Foundation p Drywall Nulling ❑ Furnace <br />❑ Concrete Slab 1FT�Rough-In ❑ Final <br />❑ Fireplace and Chimney /j]' Service ❑ Other <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION 'CORRECTION REQUIRED <br />ormctlons listed below MUST BE MADE before work con be approved, <br />Cl APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br />❑ Work listed below has been Inspected and oppnwed. <br />❑ Please contact Inspector and arrange for appointment. <br />• Wa of able to perform inspection. <br />LL 259.8745 FOR REINSPECTION — 24 hour notice required. <br />_Dote Z _ <br />1 was present during this inspect) <br />.qu..G <br />