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� <br />W� <br />INl�PECTION �E� Oi�T � <br />Address ��\_ c� +�v_� <br />Contractor--s c�� c�K <br />i� <br />Owner _ <br />Date _ /�=/�g� <br />❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REUUESTED <br />❑ Corre�hions listed below MUST BE MADE before work cen be epproved. <br />O Pl�ese conte,:l Inspoqor and evanpe for appolntment. <br />❑ Was not able to perfartn inspection. <br />U CALL (�25) 257-8810 FOq REINSPECTi6N — 24 hour notice requlred <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED <br />ON THE PREMISES PRIOR TO OCC4�PANCY. ��� <br />Inspector _ �W _ Date �O / <br />TYPE OF INS?ECTION qEOUESTED � �— <br />U Temp. Elect. J Framing U Gas Pi in� <br />J Foun�dation J Sh�rNailanlg 9 U �roundw�ork <br />J Dudwork Grid U Struct. Slab <br />J Wood Stove �Rough-in ;J Final <br />❑ Masonry U Service J Insulation <br />U Other_ <br />U BLDG: Pmt. No. U MECH: Pmt. No. <br />.] ELEC: Pmt. No. (�LBG: Pmt No. � Ht g <br />