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,.,,���f.� IIdSP�CT� AN R� P�� T <br /> � 4ddress _ _ � � �'( _ Gl.' <br /> 101__U_ _ . _�__ _ _- e <br /> Contractor _ � <br /> ������_ �'-�',�_7 <br /> Owner __�'� �;��� � `'� <br /> � �---- <br /> / �c <br /> Date _ — - �/L1 -'-------__ <br /> _ _..�,_ <br /> TYPE OF INSPECTION RFQUESTED <br /> ❑ BLDG: Pmt. No - �_ � ❑ MECH: Pmt No._- __ _ - _ <br /> �EC: Pml No� G'—�/�---0 PLBG: Pml No. ---- . _ __ --_ <br /> ❑ Housing ❑ Masonry O Consultation <br /> ❑ Footing ❑ Frami�g ❑ Groundwork <br /> ❑ Foundation �Drywall/Installation ❑ Slab <br /> ❑ SpeC. Insp. Rough-In ❑ Final <br /> ❑ Wood Stove ❑ Service ❑ <br /> ,Ig-APF'ROVAL � PARTIAL APPROVAL � <br /> ❑ VIOLATION ❑ CORRECTION REC�UIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259•8745 FOR REINSPEC110N— 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PFSIOR TO OCCUPAliCY. <br /> a <br /> ../J�� � � — � -- _rL_--- -- -. _. <br /> _ � . <br /> ---'C"-Z � �/;� — n Y� --- <br /> J / <br /> -- �. � —� ---- ---- <br /> InsPector _�!�,iL �`� _��- �/�. _Date_ <br />