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❑ APPROVAL <br />❑ VIOLATION <br />INSPECTION REPORT � <br />Address .SIQ�j,�/n�__, �.� <br />Contractor __ _ <br />Owner <br />Date S - /.S�-rz.i'— <br />❑ PARTIALAPPROVAL <br />❑ CORRECTION REQUESTED <br />❑ CorrecNons Ilsted below MUlT BE MADE betore work can be approved. <br />O Please contect inspector and arrange for appointment. <br />O Wes not eble to pertorm inspeclfon. <br />O CALL (,25) Z67•l810 FOR REINfPECT10N — 24 hour �olice required <br />A CERTIFICATE OF OCCUPANCY SHALL 8E ISSU�D AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />THSRE H116 PSfiN NO REOCAD OF RBQUEST FOR INSPECTIGN WSTHIN _ <br />THE LAST 180 Dl►YS. THE FILE IS BEING SENT TO CENTRAL <br />RECOADS FOR MICROFILMING. _ <br />Inspeclor Data <br />TYPE OF INSPECTION REOUE3TED <br />O Temp. Elecl. ❑ Freming ❑ Gas Pipirg <br />O Foating ❑ Drywell, Neiling O Consultet on <br />❑ Foundation ❑ Shear Nailing ❑ Groundwcrk <br />O Ductwork ❑ Gdd U SlrucL Slao <br />O Wood Stove ❑ Rough-in O Flnal <br />O Meaonry 0 SerWce ❑ Inaulation <br />❑ Other <br />❑ BLDO: O MECH: V U�?�/ <br />O ELEC: O <br />