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�r d�`� DATE OF INSPECTION: f23012.0 <br /> LIAA,. .'�. 1 it et jR I ✓1 S c <br /> 9 / <br /> **CIRCLE PERMIT TYPE** <br /> iilding Mechanical Electrical Plumbing eptic Manufactured Other <br /> poi <br /> fSPECTION TYPE(S): 2/e--- C <br /> EQUESTED BY: , <br /> ONTRACTOR/OWNER: PHONE NUMBER: <br /> COMMENTS <br /> -TAM--- o - oma- C `off- c <br /> ,___,P.._ A"e Dv-- - '''/7_ ANF‘tr VAI 114- <br /> IX 3 1(2'(i9C)kl<( C-)le— '--- CAFS— Cj(--' <br /> --- 2 csi_- S U 1 <br /> 'Z2-513 ') r-12-° <br /> °(‘) ►ALL �� P t <br /> i7jAd of � O "L1.S 9 C9 ° <br /> . r-V vitt - C-,,Lf.,,\_' ''j °joy ---_._________'-- C6itAk-12-Htt ( (47, <br /> INSPECTION RESULTS: <br /> Approved gr.. S, G <br /> Approved w/Corrections - �� \00.,AA vs � <br /> Disa.• • -. �Jn <br /> Partial Approval 14) \,() U'"�5��1OltS d r LQ-CrS�/ o r pec ion 'erformed kt� ,CS^'Ao--' <br /> i <br /> Inspe•4r Name Dat <br /> A service to promote health, a ety and we are4f generalpu `nX ^� �S- <br /> G:FORMS\BLDG\B•I7 One Time final slip.doc rev.09/2010 V <br /> ----y <br /> --- rk, ;r C\-- Wi*---- Or 'W<C ()) <br />