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everetl ���jP��"���� ����R'P <br /> � Address �I f I 3 �1� �n�'r�r t�� <br /> Contractor ������j ] �``�'�'}'1 ' �'J'�'� <br /> Cwner J�l�'I /q}�( �, <br /> Date �-��-p� <br /> T'YPE OF INSPECTION REQUESTED <br /> �BLDG: Pmt No._��__�I MECH: Pmt. ho. <br /> :-� ELEC: Pmt. No. C PLBG: PmL No. <br /> f ��, Temp. Elect. ❑ Masonry ❑Consultation <br /> � �� Footing ❑ Framing ❑ Groundwork <br /> �oundation ❑ Drywall, Nailing ❑StrucL S:ab <br /> �.-i Ductwork ❑ Rough-In C Final <br /> "I Wood Stove ❑ Service ❑ <br /> ❑ Gas Piping ... <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> iJ VIOLATION ❑ CORRECTION REQUiRED <br /> . Corrections listed below ldUST BE MADE '�elore work can be approvarl. <br /> �. ' Please contact inspecior and arrange for appointmen�. <br /> - � 4Nas not able to perform irispection. <br /> : �. CALL 259-8745 FOR REINSPECTION— 24 hour notics required. <br /> A CERTIFIC ATE OF OCCUFANCY 5HALL BE ISSUED A��D POSTED ON <br /> THE P . EMISES PRIOR TU OCCUPANCY. <br /> ��v r �,1'��` �� <br /> C%,� � ��- C����� � � _ . <br /> � <br /> Ins�ector!i-1��� Date �l� <br />