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� � <br />INSi�ECTlON REPORT ,� <br />Address �Sas �n.� Lc,Q.Q_ %�d� <br />Contractor. � <br />Owner <br />Date - <br />���� <br />❑ APPRLVA� ROVAL <br />U VIOLATION rL.69RREC 10 REQUESTED <br />O Corrections Ifsted below MUST BE ore work can be approved. <br />O Please contact inspector and arrange for apppintment. <br />O Was no� able to peAorm Inspection. <br />❑ CALL (42b) 257-d810 FOR pE1NSPECTION — 24 hour notice required <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED <br />ON TH� PREMISES PRiOR TO OCCUPANCY. <br />/'S.0 � /cCL� - � - - _ <br />iYPE OF INSPECTION REQUESTED —'— <br />0 Tem Elect. <br />:J Footn g O p�amin� U Gas Pipiny <br />❑ Foundation ❑ SheaalNa lanling O Consultation <br />❑ Ductwork � ���i� 9 ❑ Groundwork <br />❑ Wood Stove ❑ Rough-in FinalY� Slab <br />❑ Masonry ❑ Service �7 In�;ulation <br />:] Other <br />❑ BLDG: Pmt. No. G MECH: Pmt. Nn <br />'.rJ ELEC: Pmt. No._ � Z) ❑ PLBG: Pmt. No. <br />