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COIJNTY
TRS# /7- tJ 3- I <.J
OWNER'S NAME
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INTERIOR
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SITE ADDRESS
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FOOTING / FOUND~TIDN []
Approved ./Date_
INSPFCTjillJ RIRll
DATE ISSUED:fj.:z.-/;L PERMIT# ~..q2~
" PHONE NUMBER
PHONE NUMBER
# PLUMBING FIXTURES
REAR
1-1- SDSAPPROVAC REQUIRED
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il'~~ INSPECTION n ~
Correction Date InspectorVc.t~
PLUMBING GROUNDWORK INSPECTION
Approved Date /Correcti on
Date
Inspector
UNDERSLAB PLBG.[] /UNDERFLR PLBG.[] INSPECTION
Approved Date /Correction Date
FINAL MECHANICAL[] /WODD STOVE []
Approved Date /Correction
l~__.!!l!It!lfMI~li1_ ~
Approved V~:rr_ /Correction / Date
~~!'-"'lfJLM !!!!J.!f'ULJ1LU1NG 0 ~\1P)~I1f&lI:1~A2 PLACEMENT[]
Approved Dateq-II-'f&/Correction Date
OTHER INS PECT ION
Approved Date
/Correction
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date /Correction
FRAMING INSPECTION
Approved Date
/Correction
ROUGH MECHANICAL
Approved Date
/Correction
INSULATION / VAPOR BARRIER INSPECTION
Approved Date /Correction
LATH / GYPSUM BOARD INSPECTION
Approved Date /Correction
CERTIFICATE OF OCCUPANCY []
Approved Date
Insp.
M74-197
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Date
Inspector
Inspector~~
TEMPORARY
Approved
Inspector~~
CERTIFICAT~ OF OCCUPANCY []
Date Insp.