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= glw <br /> ,, INSPECTION REPORT <br /> %` Date `` Zit Permit: g°J-°ILI <br /> Contractor: ` 't-- <br /> P04/ Owner: <br /> Si Address: `OOC)k, c _____Sk- <br /> TYPE OF INSPECTION REQUESTED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> ❑Temp Service ❑UFER ground ❑Groundwork/Slab ❑Groundwork/Slab <br /> ❑Groundwork ❑Footing ❑Rough In ❑Rough In <br /> ❑Slab/Conduit ❑Foundation ❑Ceiling Grid ❑Ceiling Grid <br /> ❑Rough In ❑S. •cturaI Slab ❑OK to insulate ❑OK to insulate <br /> ❑Service raming ❑Rooftop Units ❑Water Service <br /> ❑Grounding •Insulation ❑Mechanical Final ❑Medical Gas <br /> ❑Ceiling Grid ❑Drywall Nailing ❑Plumbing Final <br /> ❑Electrical Final ❑Shear Nailing GAS PIPE <br /> SITE WORK ❑Roof Nailing ❑Rough In/Service Hot Water Tank <br /> ❑Footing drains ❑Ceiling Grid ❑Refrigeration ❑Rough in <br /> ❑Roof drains ❑Building Final ❑Gas Pipe Final ❑HWT Final <br /> OTHER OR CONSULTATION: <br /> ❑ APPROVAL PART! PPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ 0 FOR T.C.O. RR QTION REQUESTED El <br /> Vi• -•R CO. ❑ VIOLATION <br /> i TO PERFORM INSPECTION: <br /> ilk L(425,25 :881 FOR REINS•ECTION—24 ho 4 otice required <br /> i <br /> -� am 'L& 0S , t� 'I . . ti <br /> 1 <br /> fCu6(Z. ad1S NE."s ?t gnio <br /> Is/DLL b S1 6-L& TOY° 'Lgei iw 14 `6 <br /> �z -. s'7410S $ift <br /> RsW <br /> — eifir%" <br /> wag" ro"---' /j cat- - -. Pfe D <br /> Inspector: v- Date: '-- a.' 1 <br /> 9IR(10/06) DATABAR' <br />