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�•vetett INSPECTIONREPORT <br />e Address A-1570 ' 6 <br />-�21-y& <br />Contractor_ <br />Owner <br />Date <br />TYPE OF INSPECTION REQUESTED <br />❑ BBLDG: Pmt. No <br />❑ MECH: Pint. <br />No. <br />q[tLEC: Pml. No <br />❑ PLBG: Pmt. <br />No. _ <br />(❑ Housing <br />❑ Masonry <br />❑ Consultation <br />❑ Footing <br />❑ Framing <br />❑ Groundwork <br />❑ Foundation <br />❑ Drywall/Installation <br />❑ Slab <br />r <br />❑ Spec. Insp. <br />❑ Wood Stove <br />❑ Rough -In <br />177 Service <br />❑ F� <br />sY <br />M <br />APPROVAL ❑ PARTIAL APPROVAL <br />VIOLATION ❑ CORRECTION 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 259.8746 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />— r-z/.rQLs�tlticP <br />�^' �rI'KZ�R-aT• <br />11 <br />In <br />1 - 1 <br />Inspector �� Z /�"�� Date <br />