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C:�'ere[t <br />�Y V' <br />/ � <br />� I 3 � <br />t/'! <br />.�� �� ��' ;. a'"' ._,' <br />`L <br />nddress __L`�O��s� -�---����_��% <br />CoNractor <br />Owner ��'�/S'�--�)\�;. idX <br />Date _____�X�� _.__ <br />TYPE OFINSPECTION REQUESTED <br />� 1 BLDG: Pmt No. t ❑ MECH: PmL No. <br />��=LEC: Pml. No. D�i��_O PLBG: PmL No. <br />'. Housing ❑ Masonry ❑ Zoning <br />�.. � Footing ❑ Framing ❑ Groundwork <br />� i Foundation ❑ DrywalVln;ulation I:] lab <br />� '� Spec. InsA� ❑ Rough-In Final <br />Fraplace/Wood Stove ❑ Service ❑ Consultatior. <br />APPROVAL ❑ PARTIAL APPRO\�E-,� <br />' : `,'IOLATION ❑ CORRECTION REQUI�;�-�� <br />�Currec�ions listed below MUST BE MA�E before work can be apprcr. _ � <br />�'icase contact inspector and arrange for appointment. <br />'.'!as nol able Ic pedorm inspection. <br />:;l.LL 259-8870 FOR REMSPEGTION — 24 hour notice required. <br />:i C;�RI Ii=1CATE OF OCCUPANCYSHALL BE ISSUED AND POSTED O�! <br />i f I�' PREMISES PRIOR TO OCCUPANCY. <br />/ � / �{(��' -> <br />�:,���i�.,,�,�o�� �,-.i�Z CG.�"-C�<��i�,-�._.��_ n.,L: � �C��[/.. ._ <br />i <br />