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N <br />INSPECTION REPORT <br />Address _ <br />Contractor���—e� <br />Owner <br />n �� <br />--Go <br />^7 Cy <br />Date-�-/ — / -- <br />r *PPROVAL 0 PARTIAL APPROVAL <br />❑lVIOLATION ❑ CORRECTION REQUESTED <br />U Corrections listed below MUST BE MADE before work ran be approved. <br />U Please contact inspector and arrange for appointment. <br />❑ Was not able to perlorm inspection. <br />❑ CALL 259.8810 FOR REINSPECTION — 24 hour notice required <br />A CERTIFICATEON THE PREMISES ISSUED AND POSTED <br />PRIOR TO OCCUPANCY. <br />Inspector <br />TYPE OF INS ON REQUESTED <br />❑ Gas P <br />❑ Franin <br />J BLDG: Pmt. No. <br />❑ MECH: Pmt. No <br />,VELEC: Pmt. No. 3g90_6Z_U PLBG: Pmt. No. <br />