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�I�ISPECTION REPART � ; <br /> Address 4'n�/,�j ���o�T �� <br /> /�� � . <br /> Contractor%� <br /> � Owner ��`'� <br /> Date�� +s g � <br /> 0 APPROVAL ❑ PA AL APPROVAL <br /> ❑ VIOLA710N CORRECTION REQUESTED <br /> ❑Corrections listed below MUST BE MAOE before work cen be approved. <br /> ❑Please contect inspector and arcange for appo�ntmenl. <br /> ❑Was not able to pertorm inapect�on. <br /> ❑CALL(125)257-dB10 FOR REINSPECTIOH—24 hour nolice required �t <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED <br /> OI�,ZHE PREMISES PRIOR T�h�CL�� a,� <br /> � �n <br /> �i vL ��` ���s� �, .Q A �_ay� <br /> �dR .�� '� I��L C. 19�—J�D01� <br /> ' -t �L-i4 C-k �' . . ,., .�s i D -P <br /> --��c�C C� t K �A�t � fi --F� <br /> /� �a� cR � � ��,o� `r� <br /> _---- <br /> ��1� Date d _ � _ <br /> Inspec�or <br /> TYPE OF�NSPECTION REOUESTED <br /> ❑Framing l.l Gas Piping <br /> ❑Temp. Eled• 0 Drywall,Nailing J Consultation <br /> U Footing ❑Shear Nailing ❑Groundwork <br /> 0 Foundation � �d ] Strud. Slab <br /> 0 Dudwork Rou h in 7 Final <br /> ❑Wood Stove 9 ' U Insulation <br /> ❑ Masonry ❑Service __ <br /> ❑Other �,,,� q <br /> MECH:Pml.No!� v����� 3� <br /> O BLDG:PmL No.--� <br /> ❑ELEC: Pmt.No. ❑PlBG:Pmt.No. <br />