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xC� <br /> Mh <br /> m�y <br /> x <br /> C H <br /> a�� <br /> r <br /> y H <br /> k c] <br /> H� <br /> '�s� H'TJ <br />� � o� �':�; 0��������� �����'(1 <br /> � �d r�7r Address �� � � � �� ��� �/�� <br /> H L�7 O <br /> �" � Contractor <br /> r �z i �� u/S,Q ��;��'S�rl? <br />' t�H <br /> Owner <br /> g � <br /> dvH, Date— � - 6�-�j _ <br /> � r�r <br /> y c�i� ❑ APPROVA� ❑ PARTIAL APPROVAL <br /> H O f/� <br /> U VIOLATION ❑ CORRECTION REQUESTEG <br /> U Corrections listed helow MUST BE MADF9 before vrork can be approw.si <br /> U Please conlact inspector and arrange for appointmenl. <br /> I� !J Was not able to perform iiispection. <br />� � � U CALL 259-�810 FOR REINSPECTION-�24 hour nol�cc r?quired <br /> - 1 <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND Fr<,'.il [ <br /> e- ON THE PREMISES PR104i TO OCCUPANCY. <br />�� '�I _ NO RECOAD OF REQUEST FUR INSPECTIGt1 [9ITIiIN Ll5"� <br /> i180 DAYS. FILE HAS BEEN SENT TO RECORDS FOR <br /> '�� MICROFZL4IING. __ <br /> �� <br /> �� <br /> � ' <br /> ��. <br /> 'r <br /> -— —. _ <br /> Inspector__-- —Date ___. <br /> � TY'E OF INSPECTION REOU[ST[D <br /> ��' U Temp. Elecl. U Fr�miny U Gas Pipinq <br /> U Fooling U Drywall,Nailing �J Consul�:tlion <br /> � J Foundation U Shear Nailing U Groundwoik <br /> � U Duchvak 'J Grid U Slruci. Slab <br /> U Wood Siove U Rough�in U Fioal <br /> U Masonry U Service J InsWalion <br /> U Olher — .__ . .._ <br /> ) " <br /> U BLDG:Pml. Na �:3(C4[CH: Pmt. Na d��=---_-- . <br /> �J ELEC� Pml No. —.—_--'J PI P(;� Pinl No._ ---- <br />