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e%erett INSPECTION REPORT <br /> Address ---- <br /> Contractor <br /> Owner <br /> Date <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No._�cj MECH: Pmt. No.. <br /> ❑ ELEC: Pmt. No. O PLBG: Pmt. No. <br /> O Framing [3 Gas Piping <br /> ❑Temp.Elect. O Dull,Nailing ❑Consultation <br /> ❑ Footing ❑Shear Nailing [3 Groundwork <br /> O Foundation Grid <br /> ❑Struct.Slab <br /> p <br /> O Ductwork Final <br /> [3 Wood Grid Wood Stove Rough-In <br /> ❑ Masonry .itS <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> VIOLATION (ICORRECTION REQUIRED <br /> ❑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 /> ❑CALL 269-8810 FOR REINSPECTION L 24 hour notice required, <br /> THE RTIFI SES PF OC TO OCCUPANCY <br /> E ISSUED AND POSTED ON <br /> 1 <br /> Date A <br /> Inspector - y�q-- <br />