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INSP�CTIOI�! RE�OiiT <br />Address �:LCLZ "�" �-� Z� J <br />Conlractor_ <br />Owner <br />Date ����� <br />❑ APPROVAL ❑ PARTIAL <br />,] VIOLATION 41 COF�Ee <br />REQUESTED <br />O Conections listed below MUS�MADE be(ore work can be approved. <br />❑ Please contact fnspector and arrange for appointment. <br />❑ Was not able to peAorm (nspection. <br />O CALL (125) 257-8610 FOR REINSPECTION — 24 hour notice required <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED <br />Ofj{�f�E�MISES PIpOp YO OCCUPI�NCY. <br />J Tc <br />J Fo <br />❑ Fo <br />J D� <br />J Wc <br />J Ma <br />�dBLDG <br />� OF INSPECTION REOUES'FEb � J— <br />�P U Framing J Gas Piping <br />�� 9 ❑ Drywalf, Nailing ❑ Consultation <br />ndation '] Shear Nailing J Groundwork <br />�twork J Grid ❑ Sirud. Slab <br />�d Stove :] Rough-in J Final <br />�onry U Service ❑ Insulation <br />����7-/ �:101her <br />Pmt. N4�LfL� `��-!� MECH: mt. No. <br />U ELEC: Pmt No. <br />PLBG: Pmt. <br />