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INSPECTED

LAWFUL OCCUPANCY PERMITTED


This structure has been inspected (as Date ___________________________
indicated below) and no apparent structural
hazard has been found. Time ___________________________
Inspected Exterior Only
Inspected Exterior and Interior
Report any unsafe condition to local
authorities; reinspection may be required. This facility was inspected under
emergency conditions for:
Inspector Comments: ________________________________
__________________________________ (Jurisdiction)
__________________________________
__________________________________ Inspector ID / Agency
__________________________________ ________________________________
________________________________
Facility Name and Address: ________________________________
__________________________________
__________________________________
__________________________________

Do Not Remove, Alter, or Cover this Placard


until Authorized by Governing Authority

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