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INSPJC"TION fk $RT <br /> Address— <br /> Conti octor <br /> ddress_Contractor <br /> Owner <br /> Date <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ BLDG rmt. No. [] "; H: Pmt. No. <br /> ❑ ELEC: Pmt. No. 2110182 Pmt. No. <br /> ❑ Housing n Masonry ❑ Insulation <br /> ❑ Footing L] Framing ❑ Groundwork <br /> ❑ Foundation ❑ all Nailing ❑ Ccmwltaaon <br /> ❑ Sewer Rough-In ❑ Final <br /> ❑ Fireplace Chimney ❑ Service ❑ Other <br /> APPROVAL [] PARTIAL APPROVAL <br /> (p CORRECTION REQUIRED <br /> ❑ Corrections listed bclow MUST BE MADE before work can be opprmed. <br /> ❑ Work listed below has been inspected and oppros d. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259-8870 FOR REINSPECTION -- 24 hnur notice required. <br /> A Certificate of OCIUPanLY shall be issued and posted on the premises prier N occoPeney. <br /> NAik 1 <br /> A <br /> '[ E SEGc� <br /> o � � 4Ffe4 r en:RIrcToty 4 <br /> Inspecto, _Daft u ��� <br />