Untitled (44) ® / CITY OF 4t214t21( ,p
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Office of Building Official
VI-
_ REQUEST FOR IIiSPECTION
Date0(5 /P Permit No. c.‘-.�.:2S_
Time A.M.
Received, P.M. Dis ct No.
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Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring Rough 0 Air.Cond.& 0
Re Roofing 0 Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday P.M.
x5
inspection Made
P.M.
Inspector i Final Inspection 0
Certificate of Occupancy
Date