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�;' j, <br />;.,.' P <br />' �. <br />'' '� <br />.J <br />� _ r; ; <br />' , i.;�•:',: <br />',I;- ' <br />m <br />r'_"�. <br />.,��„ INSPECTIAN <br />u � l t... �}-:O'�� — <br />RE�ORT <br />� Mdress c���� /.P /Cc`„'� / I 1`'r� <br />Contmctar �' l���T—T� <br />Owner �� �N_` �`" �y� <br />Date_ �� � <br />TYPE OF INSPECTION REQUESTED <br />�DG: Pmf. No._.!� ❑ MECH: Pmt. No. <br />❑ ELEC: Pmt. No._ ❑ PLBG: Pmt. No. <br />❑ Housinq ❑ Masonry � Insuloti�n <br />❑ Footinq ❑ Fr ming ❑ Groundwork <br />❑ Foundation �rywall Nailing ❑ Censultation <br />❑ $ewer ❑ Rough-In ❑ Final <br />p Firepiace and Chimney ❑ Service ❑ Other _ <br />�(APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOIATION ❑ CORRECTION REQUIRED <br />❑ Correclions listed below MUST BE MADE before work can be opprwed. <br />❑ Work listed below hos becn inspected ond approved. <br />❑ Pleox contact inspector and arrange for oppointment. <br />❑ Was not oble to perform insDection. <br />❑ CALL 259-BB70 FOR REINSPECTION — 24 hour noticc required. <br />/� Certi(iAte aF Occupancy shall be issued and posted on the premises D��or b xeuponey. <br />��� � flh�, .s�� <br />