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lvtrtR <br /> AddINSPECTION RE / T <br /> c ress_ <br /> Contractor ---- <br /> Owner ( "� <br /> Date —__l /ice <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG: Pmt. No_��� _ ❑ MECH: First. No. <br /> Q ELEC: Pmt. No <br /> Q PLBG: Pmt. No <br /> ❑ Housing n Masonry <br /> [3 Feeling [J Framing L7 Insulation <br /> IFoundation C7 Groundwork <br /> ❑ Sewer [IDrywall Nailing L7 Crnsultolnm <br /> Q Rough-In p Final <br /> C) Fireplace and Chimney D Service <br /> - ❑ Other <br /> ❑ APPROVAL L] PARTIAL APPROVAL <br /> ❑ VIOLATION CORRECTION REQUIRED <br /> 0 Corrections listed btlrw MUST BE MADE before work can be ipprovs.d. <br /> ❑ Work listed below has been inspected end opProvad. <br /> ❑ Please contact inspector and arrange for apPuintmenl <br /> [] Was not able to Perform inspection. <br /> if <br /> CALL 259.8870 FOR REINSPECTION --- 24 hour notice required <br /> A Certificate of Occuponcy shall be "sued end posted on the premises prier b eece <br /> ----.r� Nom/' <br /> InspKJpr• / _ <br /> o �d <br />