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erereR IN5P !1?NVREP0R3 f <br /> ® Address_-- <br /> — <br /> Conbactn, - -- <br /> Owner- <br /> Date— <br /> wnerDate / 3 ` �•6 <br /> TYPE OF INSPECTION REQUESTED <br /> Cl BWG: Prof. No. I7 MECH: Pmt. No. - <br /> P411EC: Pmt. No. ❑ PLBG: Prof. No. <br /> 13 Housing L) Masonry ❑ Insulation <br /> ❑ Footing Q Framing Li Groun.iwork <br /> ❑ Foundation ❑ Orywoll Nailing ❑ Cc atim <br /> [I Sewer <br /> Rough-In .nal <br /> L] Fireplace and Chimney E) Other Service _ ❑ <br /> APPROVAL PARTIAL APPROVAL <br /> VIOLATION O CORRECTION REQUIRED <br /> Corrections listed below MUST OE MADE be Mea worcan be approved. <br /> Cl Work listed below hos been inspected and approved. <br /> 1 CI Please contact Inspector and arrange for appointment. <br /> Cl Was not uble to Perform Inspection. <br /> Cl CALL 259.8870 FOR REINSPECTION — 2e hour notice required. <br /> A Certificate <br /> of occupancy shall be issued and posted on the premises prier to eecepefty- <br /> r, <br /> 01 <br /> Date/ — <br /> Inspector <br />