Untitled (42) /,
CITY OF
y-ii0 &Q, Ia sc 1 each-lkniula
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received3— 3 - ? 7 P.M./'�_ ,� strict No.�
qJob Address / i �// ` Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing O Footing 0 Rough Wiring 0 Rough 0 Alr.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 0 Top Out ❑ Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
i Mon. Tues. Wed. I` Thurs. Friday P.M.
jc A.M.
Inspection Made 5V1J��/� P.M.
Inspector Nr�%'t Final Inspection J„'
Certificate of Occupancy
Date