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r <br />Pb('fP[[ <br />IhiSP°:; Cii�� ��p��'�' <br />�J/ / <br />Address ��_ � _� _ �,f/����{' //1Lt. {' ��� <br />Contractor - <br />-� � — -- - - -- <br />%� / <br />Owne� ___--�'.:_(�• � I_q�i^."_ /t_�SS .----- <br />Date --. _ _ S' � 7_'c�SGL ---- <br />���._� �� <br />TYPE OF INSPECTIUN RcQUESTED <br />C BLDG: Pmt No __ ________ _p ML:OH: Pmt. No. <br />-. __ <br />�-. EI �C Pmt. No ---- ---�PLBG: F�r�t No. _ %__�_ � `� � <br />�� <br />❑ liousing CI Masnnry ❑ �on;ul�ation <br />O Footin� ❑ Framing ❑ Groundworh <br />❑ Fcundation p pi�.,�all/Installation ❑ Slab <br />❑ Spec. Insp. ��Rough-In ❑ ,=inal <br />O Wood Stove ❑ Service p _ <br />�.....�. _ - - <br />❑ APPROVAL PF,RTIAL AFPROVAL <br />❑ VIOLA710N ❑ CORRECTI�?�i REQUIRED <br />❑ Gorrections listed below MUST BE MADE before work can b� e a� �td� <br />❑ Please contact inspector and arrange for a�Fointment. <br />❑ Was not able to perform inspechon. <br />❑ CALL 259•8745 FOP. REINSPEC710N - 24 hour nui+ce required. <br />A CERTIFICATE GF OCCUPANCY SHALL BE ISSUEU AND POSTED ON <br />THE PREMIS�S PRIOR �'O OCCUPANCY. <br />__�M1(C`e.J � /�� S `�P `P 707Lf1 !V . L-+ CAM�C/�:._-- <br />-- — <br />—/—''� --�----- <br />1..� _ _ <br />— ' <br />- --- <br />— <br />Inspector /�,._ _ C�.�i.2,�}'r(.� �'' �9"s� <br />� --- . �- _ . Date__ __ { <br />, J <br />L <br />'t <br />J <br />� <br />