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; INSPECTION RE � <br /> f Address r — <br /> � <br /> � Contractor r (.�.te,�p t� (— <br /> ' � f� � <br /> t � � Owne " <br /> � !. _ ��— / � <br /> Dat <br /> PROVAL APPROVAL <br /> ❑ VIOLATION CORRECTION REQUESTED <br /> O Correctlons Iisted low MUgY BE MApE b�foro y�k�pe�pprpy�. <br /> ❑Please contad InspecYor and artarqs for apppintrnem. <br /> O Was not able to perform fnepectlon. <br /> O CALI(125)257-l910 FOR REtNSPECTION—24 hour noltce requirod <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED <br /> O THE PREMISES PItlOR TO OCCIIMNCIF. <br /> i <br /> � �/ <br /> Inspector Date <br /> F TION REQUESTE <br /> 0 Temp. Elect ing Gas PiPing <br /> ❑ Footing ' rywalf, Nailing ❑Consu;ahon <br /> ❑Foundation U Shear Nailing p;ro�ndwork <br /> ❑ Ductwork ❑Grid ❑Siruq. Slab i <br /> ❑Wood Stove ��g ein ❑Final <br /> O Mason ❑Insulation <br /> ❑Other <br /> BLDG:Pmt.No. ���7 7Q p MECH:Pmt No. <br /> ❑ELEC:Pmt. No. O PLBG:Pmt.No. <br />