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�� � <br /> ay <br /> p9 � x INSPECTION E�EPORT <br /> t" �y . <br /> Ky � �"�z� Address_ o��iG1 I�����.�rnar/'/i/ <br /> oxo <br /> '� y H Contractor <br /> �� � Owner_������ <br /> r'ni tn O _ Date__ � � —Z D �73 <br /> �1]V [] <br /> z H� � APPROVAL _r. PARTIAL APPROVAL <br /> � H y ❑ '✓IOLA i ION ❑ CORRECTION REQUESTED <br /> C7 fn ❑ Corrections listed below MUST BE MADG belore work can be apprc�:ed. � <br /> nty� ❑ Please conlacl inspeclor and arrange for appoinlmeni. <br /> �� � O Was not ablo to perlorm Inspection. <br /> ❑ CALL 259�8870 POR REWSPECTION — 24 hour nolice required <br /> y p y A C[RTIFICATE OF OCCUPANCY SHALL BE iSSUEU AND POSTED <br /> ON THE PREMISES PRIOR TO OCCUPANCY. <br /> IGO F2EC9RD OF REQUEST FOR INSPECTION f4ITH2N LAST � <br /> �I 180 DAYS. FILE HAS BEGN SENT TO AECORDS FOR '� <br /> �-' 14ICROFILMING. � � <br /> I _� <br /> � <br /> ��� <br /> '�� Inspectar . Date � <br /> ► <br /> �I TYPE OF INSPECTION REOUESTED � <br /> I ❑Temp. Elect O Framing O Gas Piping <br /> �' p Footing p Drywall, Nail�ng ❑Consult�tion <br /> ❑Foundalion ❑Shear Nai�in <br /> � ❑Duc6vork ❑Grid 9 ❑Groundwork <br /> I I�t � ❑Wood Slove �O Rough�in ❑Final�' SI�� <br /> l� ❑Masonry ❑Service ❑Insulation <br /> O Olher <br /> ❑BLDG: PmI. No. O(5 P.9ECH: Pmt. No. �-� 3C'/ / <br /> ❑ELEC: Pmt. No, q PLL'G: PmL No. <br />