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i�vert'It � ��7��"'w����f� �� ���� <br /> � / . ' <br /> Address �� %? �- -���- <br /> Contractor __.1 -- --��'��a•r� <br /> Owner _ _ __ ---- — <br /> Date — --- -_-'/__`<�!_/�� --- --- - <br /> TYPE OF INSPECTION REQUESTED <br /> ,7!�BLDG: Pm�. No ..��.[,-.%�- -C7 MECH: Pmt No.__- __ - <br /> ❑ ELEC: PmL No _O PLBG: Pmt. No. <br /> ❑ Housing ❑ Masonry ❑ Consullation - <br /> ❑ Fooling ❑ Framing ❑ Groundwork � <br /> �oundation ❑ �rywall/Installation ❑ Slab <br /> ❑ Spec. Insp. ❑ Rough-In ❑ Final t�*'.+ <br /> ❑ Wood S;ove ❑ Service ❑ - � � � <br /> - APPROVAL ❑ PARTIA� APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRFD � <br /> ❑ Corrections lisled below MUST BE MADE before work can be approved. � �-� <br /> ❑ Please contact inspector and arrange for appointment. H '- <br /> �n - <br /> ❑ Was nol able to perform inspection. u � <br /> ❑ CALL 259-8745 FOR REINSPECTION — 24 hour nolice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON � � <br /> THC- PREMISES PRIOR TC :.CCUPANCY. -- � � <br /> - - - _ _— <br /> - -- — <br /> � � <br /> i � ^ � ! <br /> _� , �- - � ��'���_ _� - - , b : <br /> -- --- � : <br /> � <br /> - - -- - ° <br /> - --- - � �; <br /> �, <br /> - � ' : <br /> � <br /> r <br /> - � , <br /> .._ -_."'_._. .. _. _ -_'- -___ _'._ . y ." <br /> Inspector �t�F��'/' l. .�������"' . .Date �/v?)��. - <br /> / <br />