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���P���l�� R���f�`�" � <br /> ',�� � �/2 L � <br /> f^,✓,� Address - � <br /> �J� ��. Contractor � � <br /> � Owner �C�� <br /> P'� �" �'""9.�-- <br /> Date _.�_ _ - <br /> c APpRC�v1+L /�?5 /���RTIA APPROVAL <br /> ECTION REQUESTFD <br /> � Corrections listed below MUST BE MADE befoie work can be app������ ` <br /> � Please contact inspector and arrange ior appointmeM. <br /> �Was rot able to perform inspection. <br /> �CALL 259•8810 FOR REINSPECTION-24 hour notice req�_iin�d <br /> 1 CERTIFICATE OF O��UPANCY SHNLL BE ISSUED AND PG_�1 ED <br /> ON 7HE PREMISES PRIOR TO OCCUPANCY. - <br /> _ _Q1/ —�=t-J/4'�---"`�GT�!_G✓.LC� <br /> f� <br /> �2'17�—l.�ct2�✓_G2ac,c,���R—Gs,L�_ <br /> I� pertor �� Date�.S- -/�G . .. <br /> TYPE OF INSPECT!ON REQUESTED <br /> �� <br /> J iemp. Elecl. J Framing J Gas Piping <br /> � Fcotin J Dry�vall,Nailing J Consultation <br /> � �oundation J Shear Nailing J Groundworh <br /> J Duc�work J Grid J Struct. Sla� <br /> J VJood Slove J Rough�in �inal <br /> � t�lasonry J Service J Insulalion <br /> J Other <br /> � i31.DG: Pmt. No. I �— J MECH:Pmt.No. - - <br /> 4 [LEC� Pmt. No,jOU-l-�/ � �'LBG PmI. No.---- <br />