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INSPECTION PORT � <br /> Address �J�- <br /> Contractor ��"� � or � _ <br /> Owner � �� '���� — <br /> Date ����7� <br /> ❑APPROVAL O PARTIALAPPROVAL <br /> O VIOLATION �CGWRECTION RE�UESTED <br /> ❑ Correctlons listed below MYST �t MAp� betore work can be approved <br /> p�t�ase conlect inspector and arrange tor eppointment. <br /> O Wes not able to pertorm Inspectlon. <br /> o CALL (�25) 467•��10 F011 11��Nfr�CT10N —24 hour notice requlred <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES P1110R TO OCCU'ANC11. <br /> ��.,LEEtQ R � - -"—.-.. t .a�t SZ 6�—_ <br /> �_t�ctG��._��.c.��_�=��-O.e-GF_�Z <br /> _ ,..s �C��v_�_,�G�G��.nr�-►sa — -- <br /> �-� � — <br /> �E�o.vc�.c�_���____•�'v� — <br /> � <br /> --��-,Q�cr.v�r--4�u1�-m -•- <br /> --�o_.�t.4��---T��"'--=s'��'-�� - �._.��l�t- <br /> _�,k-�__-���r a--- - � <br /> Inapeclo��� Dete �/ -- <br /> TVPC Oi INSPECTION REOUESTED O Q�P�PI� <br /> O Temp.Elect. O Fremirp <br /> O Footing U Urywell,Nailing 0 Consulletbn <br /> ❑Foundetlon O 9heer Nellinp O Oroundwork <br /> ❑oudwork o oda u slrud.s�ab <br /> O Wood Srove O Rouph•in •�r� <br /> O Maaonry . ❑Servbe O lnwletlon <br /> O Olher -- <br /> O B10f3: O MECH:__ --� <br /> /....`C'-L�./r/El�--�"T _ O PLBO:_ <br />