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,4p:....., INSPECTION REPORT <br /> �.. , Date: 1Z 2Z Permit: �2 <br /> b. �, �� Contract r: ea .\ 4i,2-&C, <br /> l UV t cue. <br /> e fp <br /> ��� Owner: `� <br /> Site Address: \100 V v " St. <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 Gnd ❑Ceiling Grid <br /> ❑Rough In ❑Structural Slab ❑OK to insulate ❑OK to insulate <br /> ❑Service ❑Framing ❑ Rooftop Units ❑Water Service <br /> ❑Gr•undin• ❑Insulation ❑ Mechanical Final ❑ Medical Gas <br /> �'effr•-.'ie,•• ❑Drywall Nailing ❑ Plumbing Final <br /> r - ❑Shear Nailing GAS PIPE <br /> 1 TE WORK ❑Roof Nailing ❑Rough In/Service Hot Water Tank <br /> ❑Foo ing •rains ❑Ceiling Grid ❑Refrigeration ❑ Rough In <br /> ❑Roof drains ❑Building Final ❑Gas' Pipe Final ❑HWT��F�innall <br /> OTHER OR CONSULTATION: 20 0 SSVj/�� L 7-l" '0 zr MASS <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL FINAL APPROVAL T IT <br /> ❑ OK FOR T.C.O. ❑ CORRECTION REQUESTED <br /> ❑ OK FOR C.O. ❑ VIOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> 0 CE43/1(-- 1,L&7121 CAL <br /> Inspector. Date: <br /> EIR(4/09) FORMS 8'ROMOTIONS•425/488-8900 <br />