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i' <br /> INSPECTIOI�i R�PGRT <br /> Address �� I 7 �u d Y __ <br /> Contractor��� <br /> Owner� <br /> Date ��.� 3�9�f . <br /> ,T----,�-- <br /> ❑ APPROVAL ❑ L APPROVAL <br /> ❑ VIOLATION ;�1.fs6RR CTION REQUESTED <br /> J Corrections listed below M - MADE before work can be approved. <br /> U Please contact inspector and arrange for appointment. <br /> O Was not able to perform inspection. <br /> `l CALL 259-8810 FOR REINSPECTION-24 hour notice requirey <br /> A CERTIFICATE OF OCCUPANCY SHALL �E ISSUED AND POSTED <br /> ON THE PRnE_MIS-ES PRIOR TO OCCUPANCY. <br /> f'-�l��L�.2�Y �.�e�Ju.u� �Ix1z( S <br /> Insped�,_.,� Dale �� <br /> TYPE OF INSPECTION REOUESTED <br /> U Temp. Elest. J Framing J Gas Piping <br /> U Footing f, Drywalf,Nailing J Consullation <br /> , r'oundation 'J Shear Nailing J Groundwork <br /> U Ductwork ❑Grid J Struct. Slab <br /> J Wood Stove CJ Rough�in J-Firal <br /> U Masonry U Service �] Insulation <br /> ❑Olher <br /> U BLDG: PmL No. ❑MECH: Pmt. No. <br /> �EC: Pmt. No.G�C���J PLBG: Pmt. No. - — <br /> - - -- - - _ __— _ � <br />