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Nil
0 B.I.N. REQUESTFORINSPECTION Permit No.
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Location: d�d2(li%L W M4"t, �/ G�L�-Bf' 0z
.e —
Owner.
Complaint:
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
PRE -
Form
Rough
INSPECTION
Frame/Underfloor
Stucco Lath
Stucco Brown
Fireplace
Bond Beam
Insulation
Nailing
Top Out
Gas Piping/Test
Temp. Gas
Sewer Piping
Water Piping
Shower Pan
Temp. Service
Underground
Well Circuit
Light Niche..
Corrections
Final
Housing
Job Status
Permit Renewal
Verify Utilities
OTHER
v
/ L
Corrections
Corrections
Corrections
READY FOR
Final
Final
Final
INSPEC. ON gy—c— 19_ P.M.
Date: Time, KIM-
OFFICE COPY
(P%[
Date
ELECTRIC
Meter By Date
N�-
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