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���y <br />p�x <br />C H <br />�Hx� <br />HxH <br />�G Cl <br />H� <br />� H � <br />V] H <br />[T] O � <br />HG <br />OH <br />��g <br />�� � <br />t"y� <br />CyH <br />C d y <br />t=J �" <br />�Hfn <br />HOfn <br />I�`��E'"6lS��i�iB6 ��i��� <br />Address _/�a� �U�� ��n <br />Contractor� w � �- <br />Owner <br />Date � S " � <br />TYPE OFINSPECTION REQUESTED <br />�J BLDG: PmL No. S '.1 MECH: Pmt. No. _ <br />\ <br />/n ELEC: PmL No. ❑ PLBG: Pmt. No. _ <br />�'� w� ❑ Temp. EIecL ❑ �4asonry ❑ Consultztion <br />����, -p�ptm�� G Framiny f7 Groundvrork <br />! �Founda�ion ❑ Drywall, �ailing ❑ Struct. Slab <br />1 � ❑ Ductvaork ❑ Rough-In i: Final <br />❑ Wood Slove G Service � 1 <br />`� e ❑ Gas Piping <br />, �� APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />iG Correclions listed belo�r: h1UST BE MADE before r�ork can be approved. <br />I�,� �� Please contact fnspector and arrange for appointment. <br />( � Was not able to Per(orm inspection. <br />�, ❑ CALL 259-R7A5 FOR REINSPECTION -- 24 hour notice reyuired. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />I Io'g� THE PREMISES PRIO� TO OCCUPANCY. <br />rnin,r� ��no 7 P�.2� <br />(i� �iq �f.ri�:,c� <br />- --L� , ; � �7 <br />I:,��,pecb i. z: �._. L� y Date'' <br />� . <br />