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NOTICE <br /> AND Ii�iSPECTION REPORT <br /> everen q <br /> � AJdress-L7�� 3 6 '_�G�n �Q_/� � <br /> Contmtror n <br /> � �-�P /i l.v�" <br /> Owner �L�""�^�b�` � . <br /> � <br /> Requested by� - <br /> TqYPE OF INSPECTION REQUESTED <br /> �j.E[TSG; Pmt. No.1 ����� ❑ MECH: Pmt. No. <br /> p ELEC: Pmt. No ❑ PLBG: Pmt. No.— - <br /> ❑ Footinp �wlning ❑ Brench Circuit <br /> ❑ Founda:icn ❑ Drywall Nailin9 ❑ Fumacc <br /> ❑ Concretc Slo� ❑ Rough-In ❑ F'^0� _ <br /> ❑ FireO�ocr ond Chimney� ❑ Scrvice [7 Other __ <br /> PROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � Corrections listed below MUST B: MADE before work can be apOrwed. <br /> � APVROVED FOR OCCUPl�NCY sublect to certifica;e of occapanq. <br /> � Work �isted below has been inspected and approvcd. <br /> p please contoct inspector and ormnge fur aOPointment. <br /> � Wos not aLlc to perform inspection. <br /> � GLL 259-87A5 FOR REINSPECTION — 24 ha�r notice required. <br /> I � / /�_���� <br /> __� ��-- ----�i�� , ���� z s- � - <br /> Inspcctor�! <br /> I wcs pr t durinp this inspecticn. <br /> ,�„( — .._—_ — --__ <br /> Y <br />