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IRISPECTION �EPo�T <br />��� 3-- " ��/ <br />Address ___ ---.--- - - <br />L // � <br />.. �GW _Y '�L�-o� <br />Contractor — -----� ---� <br />Owner ---<✓�i�"`�"_—,- —,_, --- <br />Date ____�/ s21��-L-------- <br />T"PE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No _ _____ <br />__._--O MECH: Pmt. No.._...__-.-- . . <br />3� 3d----C PLBG: PmL No. __. __ ..- --- . <br />dCFi EC: Pmt. No _ - -- <br />❑ Housiny ❑ Masonry <br />❑ Footing ❑ Framing <br />O Foundation ❑ Drywall/Installalion <br />❑ Spec. Insp. Rough-In <br />❑ Wood Stove .C�' Service <br />❑ �onsul�ation <br />C Groundwork <br />❑ Slab <br />❑ Final � <br />❑ __L'C�L.: _ <br />�1.qPPROVAL ❑ PARTIAL ArrrsvvN� <br />❑ VIOLATION ❑ CORRECTION REQU� � <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was nol able lo perform inspection. <br />❑ CALL 259-8745 FOR REWSPECTION — Z4 hour natice req�ired. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND P08TED UN <br />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspect�r _ <br />�I <br />y� <br />�. <br />H r <br />�� <br />�� <br />�r <br />F <br />�� <br />� <br />b ~ <br />C <br />�: <br />ti :. <br />�r <br />J; <br />'7 , : <br />� ' <br />C � <br />Q . <br />C ' <br />� <br />C <br />:`e' <br />