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r <br />����erett �����V e ��� ����8"4� <br />Address ��(%7- - � �- C�Z�.��� <br />Contractorek���'"""'='-% �%/G'�/� <br />/ - --- <br />Owne� �:�-. _rzr_.-�� —._ . _ _ <br />Date _ /d=�� �� Y- — ---- ------ <br />TYPE OF INSPECTION REQUESTED <br />C BLDG: Pmt. No __ __ — -- ❑ MECH: Pmt. No.. . _ — - ____-_- _ <br />�ELEC: Pml. No ����-� -0 PLBG: Pmt. No. .._.- _—..__ ._ __.. <br />❑ Housing ❑ Masonry ❑ Gonsultafon <br />❑ Fooling ❑ Framing ❑ Groundwork <br />❑ Foundation �rywall/Install:�tron ❑ Slab <br />❑ SUec. Insp. Rough•In G Final <br />❑ Wood Stove ❑ ervice � _.. —. _.. ._. <br />�,AP�ROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ;7 CORRECTION RcQUIRED <br />❑ Corrections listed belo�,v M JST BE NADE belore work can be approved. <br />❑ Please contact inspector end arrange for appointment. <br />❑ Was not able to perform inspection. <br />G CALL 259-8745 FOR FIEINSPECTION — 24 hour netice required. <br />A CERTIFICATE OF OCCUPANCY SFiALL E3E ISSUED AND POSTEU ON <br />THE FREMISES PRIUR YO OCCUPAPICY. <br />— ��� — <br />-- ---- /1 — — <br />Inspector� _.l��I��,L� - � -. Date__ __ . _-__ <br />/ / �— <br />i <br />� <br />