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evcrctl <br />� <br />P6ATI�E <br />AND INSPECTION [tEPORT <br />� ( �� �i�04 /Q /'Ti_��� <br />Address <br />Contracror �` � �%% ,�1 <br />/ r [ J f�OGt�LT <br />Owner� <br />Requcstcd by <br />TYPE OF INSPECTION REQUESTED <br />p BLDG: Pmt• No. ❑ MECH: Pmt. No.__ <br />�'f— ❑ PLBG: Pmt. No. <br />*� ELEC: Pmt. No.� <br />� Fcotin9 ❑ Framing ❑ Branch Circuit <br />� Foundalion ❑ Drywoll Noiling ❑ Furnacc <br />� Concretc $lob ❑ Rough-In ❑ F'^O� <br />� Fireplace ond Chimney ❑ Scrvice ❑ Olher_— <br />APPROVAL ❑ PARTIAL APPROVAL <br />VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrcctians listed bclow MUST �E Ml�DE befcre work can be approved. <br />p APPROVED FOR OCCUPANCY sublect to certificote of xcupanry. <br />� Work listed below hos been inspected and appraved. <br />❑ Pleose eontoct inspeetor ond arranfle for eppointment. <br />� Was not ab�c ro perform inspccticn. <br />❑ CALL 259-8745 FOR REINSPECTION — 24 hour natice requircd. <br />�— <br />I was p�csent durin9 this inspeetion. <br />. ..tij�.5 <br />