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� <br /> a�•,err-tt � ���G\.r �I � �/� R�����,� <br /> � Address _- .s/�_� __,�✓r�_ ,6i2F_6rv_�C7.�y <br /> �N�'.c O�GLt✓�?b'i�t/G> / <br /> Contractor_,p�_!�C Q!V <br /> Owner _�`O c.�T.9-y��N/Lp /���alT <br /> Date _�����'_(o—.��•��O _ <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No __ . ❑ MECH: Pmt No._ <br /> ❑ ELEC: Pmt No _ �,'PLBG: Pmt. No. ���(o__ <br /> ❑ Housing ❑ Masonry ❑ Gonsullation <br /> ❑ Footing O Framing �,Groundwork <br /> ❑ Foundation ❑ Drywall/Installation ❑ Slab <br /> ❑ Spe�. Insp. ❑ Rough-In ❑ Final <br /> ❑ Wood Stove ❑ Service ❑ <br /> APPROVAL � PpRTIA.L APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION RFQUIRED <br /> ��— <br /> ❑ Corrections listed below MUST 8E MADE belore work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> . ❑ Was not able to perform inspection. <br /> ❑ CALL 259•8745 FOR REINSPECTION— 24 hour noti:�e required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> ������� 1,J fs�.�,��i` -- <br /> _ �v, T�c ���v.�d �Jo�� <br /> - �l���a��r -- <br /> - -- /�-)-- -- _-- ----- — <br /> Inspector ( � /��L-. __--- __-Date_f2��_6� <br /> �t N- -1/�f - <br />