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r <br />f <br />. ,;. . . <br />��� ,� <br />'� -1� ���� � -- d�9 <br />Date:.��` �'ermit: <br />Contractor: _`��� � <br />Owner: <br />Site Address: __��!%Gi� " 1�17"l/��G7 �- � <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 ❑ Structural Slab ❑ OK to insulate ❑ OK to insulate <br />❑ Service ❑ Framing ❑ 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 ❑ PARTIALAPPROVAL <br />� OK FOR T.GO. ❑ CORRECTION REQUESTEC <br />❑ OK FOR C.O. ❑ VIOLATION <br />❑ UNABLE TO PERFORM INSPECTION: _ <br />CI caaQ_� �a��p ��a��s�g� ��a�z ���n�������o� - �� r���� ��, °::; _ . .. <br />���� <<,��y, <br />� <br />— _-- — —__ _ ___ _ <br />.� - �-1,�. <br />�t=?lii1Y/_��fG'i€ ��noHs rc racmnouoNs . azti/+uu.t�v�:; <br />