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*ej <br />Address__ <br />Contractor__O <br />Owner <br />Data <br />/ <br />1!/ ".% / r 71 <br />_ <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No. <br />❑ MECH: Pmt. No. <br />❑ ELEC: Pmt. No. <br />PLBG: Pmt. No._22 <br />❑ Housing <br />❑ Masonry ❑ Insulation <br />❑ Footing <br />❑ Framing ❑ Groundwork <br />❑ Foundation <br />❑ Drywall Nailing ❑ Ccnsultaticn <br />❑ Sewer <br />❑ Rough -In ❑ Final <br />❑ Fireplace and Chimney <br />❑ service ❑ Other <br />APPROVAL <br />❑ PARTIAL APPROVAL <br />VIOLATION <br />❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved <br />❑ Work listed below has been inspected and approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspecticn. <br />❑ CALL 259-8870 FOR REINSPECTION — 24 hcur notice required. <br />A Certificate of Occupancy shall be issued and posted on the premises prior to occupancy. <br />Inspector_.-_-_ <br />