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evereit <br />e <br />w�l�t <br />cpt.�Q, �'J <br />$C I�III �- <br />INSPECTIQW RERORT <br />Address ��_�(/�/�r/ �i/ _ <br />( <br />Contractor __ <br />Owner �R _ <br />Date __nl "z8' —�''� <br />TYPE OF INSPECTION REOUESTED <br />xBLDG: Pm�. No. % FJ��� f] MECH: "m�. No. <br />' �. [LEC: Pmt. No. <br />fl PLBG: Fmt. No. <br />❑ Temp. Elect. ❑ Framing ❑ Gas Piping <br />❑ Footing ❑ Drywall, Nailing ❑ Consultation <br />❑ Foundation ❑ Shear Nailing � Groundwork <br />❑ Ductwork ❑ Grir� ❑ Struct Slab <br />❑ Wood Stove ❑ Rough•In �Z['Fir�al <br />❑ Masonry ❑ Service C7 <br />APPROVAL A5 t��iri� ❑ PARTIAL APPROVAL <br />❑ VIOLATION G CORRECTION REQUIRED <br />i 1 Corrections listed below MUST BE fdADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able fo perform inspection. <br />❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICP.TE OF OCCUPANCY SHALL BE ISSUED AND POSTEO ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />I, Q��J�ss �C�,ipl. 1-\a,ce �!i-C <br />C' J <br />I�� iX'C'i1n�AI [_l ,;��+ <br />�� �pEeu ..,�1; • �.. „�t � t,.-1. �.� �f- I���.k ��s <br />Insnector �,Gs / .// �� Da1e // Z�'s�fi <br />