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rvtmtt <br />INSPECTION REPORT <br />Address <br />Contractor <br />Owner <br />Date <br />TYPE OF INSPECTION REOUESTED <br />-2w - - ❑ MECH: Pmt. No <br />❑ BLDG: Pmt. No <br />❑ PLBG: Pmt. No. -- <br />❑ ELEC: Pml. No ❑ Consultation <br />D Masonry ❑ Groundwork <br />❑ Housing ❑ Framing ❑ lab <br />❑ Footing 1-1prywellllnstallalion (Vinal <br />❑ Foundation ❑ Rough -in <br />❑ Spec. InsP. ❑ Service <br />n wood Stove <br />,5e�PPROVAL ❑ PARTIAL APPROVAL <br />EQUIRED be ap <br />❑ VIOLATION ❑ CORRECTION <br />roved. <br />❑ Please contact nspector and arrange for appoint.. ell <br />i. <br />listed below MUST BE MADE before work can <br />❑ Corrections <br />❑ was not able perform inspection hour notice required. <br />❑ CALL 259.8745 FOR REINSPECTION — 24 <br />THE CERTIFICATE <br />PREMISES PRIOR TO OCCUPANCY. ISSUED AND POSTED ON <br />- — —r/`/+ Date -�� <br />Inspector �� <br />I <br />