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INSPECT ON PORT '� <br />ndd�ess <br />� � `6�1�sa�✓o �, <br />Contractor <br />Owner 1�' � <br />Date �" � � � <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />0 VIOLATION ❑ CORRECTION REQUESTED <br />O Conections Iisted below MU8T BE MADE bslore work cen be ePP��• <br />p pleaee conUd i�spector end arcanpe for eppdntrnent. <br />O Wss not ebb M perform inspection. <br />❑ CALL (445) 257-el10 FOR REINSPECTION —24 hour ^°Nce roQuirod <br />A CERTIFICATE OF OC PANCY SHALL BE ISSUED AND POSTED <br />O�f IE PREMI5�S �OR TO CN%� C�` /� r,� <br />u masunry 0 OIhM <br />'] BLDG: Pryynq. � ECH: Pmt. No. <br />KJ <br />❑ ELEC: Pmt. No.— 0 PLBG: Pmt. No. <br />