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.0�1 <br />-INSPECTION R�f ORT X <br />Address 1iO4_ a— / '4vc St <br />Contractor <br />Owner����{ <br />Date —_it <br />APPROVAL !¢PARTIAL APPROVAL <br />VIOLATION ,i( CORRECTION REQUESTED <br />-1 Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />51 CALL 259.8810 FOR REINSPECTION — 24 hour notice required <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED <br />ON THE PREMISES PR�°f�/� O OCCUPANCY. <br />p D 15'4 te-w Q 4s ve ) �E„E <br />qc, f,f:-.L o ti P-u s i <2,ee-lea u <br />Inspector —XI — <br />Date A' /_ 9•� <br />TYPE OF INSPECTION REQUESTED <br />j Temp. Elect. <br />U Framing <br />❑ Gas Piping <br />Fooling <br />U Drywall, Nailing <br />❑ Consultation <br />J Foundation <br />U Shear Nailing <br />❑ Groundwork <br />J Ductwork <br />U Grid <br />❑ Struct. Slab <br />J Wood Stove <br />❑ Rough -in <br />,final <br />U Masonry <br />U Service <br />U Insulation <br />❑ Other- <br />U BLDG: Pmt. No. <br />_ "j MECH: Pmt. <br />No. <br />❑ ELEC: Pmt. No. <br />_ _ XLBG: Pmt. <br />No. <br />e <br />