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/00 / /OD 7 Office of Building Official
�] �(/ REQUEST FOR INSPECTION
Date / �/v Permit No.
Time A.M.
Received P.M. District No.
J ddress de. .lily IA_
Owner's y/� �/�)
Name L �/(f/.� L�Csr{ii/— - Contractor
BUILDING CONCRETE ELECTRICAL .-PLUMBING MECHANICAL
Framing 0 Footing 0 Rough Wiring [;3/ Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 0 Top Out 0 Heating
Lintel ❑ Fire Place 0
Pre Fab
READY FOR INSPECT a
A.M.
OMon. Tues. Wed. Friday P.M.
//7� A.M.
Inspection Made / P.M. , /
Inspector fraV Final lnspectior>�
Certificate of Occupancy
Date