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� <br /> � <br /> ���e��cc � ����ei�� �� ������ <br /> � Addres� �3-3�4�_�-54FtJ7�3-G'�.�/_ <br /> Contractor __ _�—_. l�/�_ .- <br /> / �� 'J ��,q��� <br /> i <br /> Owner `�L - -- w•�=T/- <br /> Date _J�f/C��.6 �/-�Ccs�v__ <br /> / <br /> � TYPE OF INSPECTION RE�UESTED <br /> �ti�yBI.GG' Pmt. No �SG��___� MECH: PmL No. ._.___ .. . <br /> '� ELEC: Pmt. No ❑ PLBa: Pmt No. _____ <br /> � Housing ❑ Masonry ❑ C�nsultation <br /> � Footing ❑ Framing ❑ Groundwork <br /> _7 Foundation �7Drywall/Installation ❑ Slcb <br /> [- Spe0. Insp. ❑ Rough•In ❑ Finat <br /> ! Wood Stove ❑ Service � ���CYtiG��� <br /> i,�APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATIUN ❑ CORRECTION REQUIRED <br /> i7 Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259•8745 FOR REINSPECTION— 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> =Q�� � ------_ <br /> ---� ---- <br /> /� - <br /> � % y� �f' �' _3 � �� <br /> Inspector �G���y �_/ti ,4.�J� c�-+K Date_� �/�S <br /> � <br /> � <br />