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� ; � BR�S?i���:=�'��N �����'���' <br />�✓� � �r; � <br />�� ' <br />� Address --. S� � �- = � "� ial/��. i. , <br />Contractor_ l� t%/�L/��/_ /�/a-li�lR/-�LG/� <br />�� } C�5-L2�--- <br />q Owner .� _'---------- T . <br />Date --__ (_ '�_�_--_`,/ <br />�APPROVAL � PARI�IAL APPROVAL <br />� VIOf_ATION � CORRECTION REQUESTED <br />� C.r,rrections listad belo�:� WUST BE MADE before work can be approved. <br />.. i'R;a;e contact in;pec�or ard arrnnne for appomlment. <br />�';Vas not able to per(orm inspecuon. <br />_i CALL 259•8810 FOR FEINSPECTiON - 2�3 heur no�ice required <br />A G�RTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED <br />ON THE PREMISES PRIOR'9'O aCCUPANCV. <br />- -- - - - - ---- - <br />_-- <br />-- -- _ - <br />-- �3 _ =��r�� ��1�-� ���s <br />� <br />� <br />- ------ ---- , __ ---- - <br />- ----C`� �ro � _ �2.� c c+�__ <br />ir��spector_Y�.�-V_`�---`��---Date_ .1--/-- <br />TYPE OF li�lSP� ;� ION REQUEST� <br />J Temp. Elect. J Framing Gas Piping <br />J fooUng J Drywall, Nailing J Con;ultation <br />J Founda�ion J Shear Nailing J Groundv.�crk <br />� Duciv;ork J Grid �� tr�ct. Slao <br />J Wood Stuve J Rough in 9*!ta <br />� Masonry � Service a Insulation <br />JOther----._.._..---------- - <br />\/ �i�. <br />_I �I_DG: Pmt. No. �N1ECH: Pmt. No.__��O_�" 5 5 <br />( <br />J FL[C: Pn��! No. __- ______ _.. J PL E;f;�. Pmt. No.. _._ <br />