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�1; <br />� ..� ; <br />Sit� Address: <br />ELECTRICAL <br />❑ 7emp Service <br />❑ Groundwork <br />❑ Slab/Conduit <br />❑ Rougl� In <br />❑ Service <br />❑ Grounding <br />❑ Ceiling Grid <br />❑ �9ec��'se�8 V�ueaa9 <br />� � ' � �"� C-��- �`I�.� �o�� � �C�'G�� �:��� �f <br />�ate: � 3 � 5 Permit: ,� �� O Z' 1 30� <br />Contracior: <br />Jwn�r: <br />TYPE OF IfVSPECTION REQUESTED <br />BUILDING MECNANICAL <br />❑ UFER ground [� Groundwork/Slab <br />❑ Footing ❑ Rough In <br />❑ Foundaiion ❑ Ceiling Grid <br />❑ Structural Slab ❑ OhC fo insulate <br />❑ Frair�ing � ❑ Rooitop Units <br />❑ Insulation ❑ ���y���o��� �a��0 <br />❑ Drywall Nailing <br />PLUMBIIVG <br />❑ Groundworlc/Slab <br />❑ P.ough In <br />❑ Ceiling Grid <br />❑ OK io insulate <br />❑ Water Service <br />❑ Medical Gas <br />❑ 3��a�mu�ooac� �a�u�9 <br />SITE WORK � 5hear iVailing GAS PIPE <br />❑ Roof Nailing ❑ P.ough In/Service HoY Water T�nl< <br />❑ Footing drains ❑ Ceiling Grid ❑ Refrigeration ❑ Rou h In <br />❑ Roof drains ❑ ��ao9�u�o� �uuual ❑ ��� ���e Cue��G ❑ P�"�"�°Ti E@�e�� <br />OTHER OR COfVSULTATIOfV: �� � � <br />❑APPF20VAL ❑ PARTIALAf�PROVAL �r��le��.lApG�6'��@9��."�V�O����V@fdB"0' <br />❑ OK FOR T.C.O. ❑ CORRECTION P.GQUES I ED <br />❑ OI�C FOR C.O. ❑ VIOLATION � <br />❑ UfVABLE TO PEfiFORM IfVSPECTION: <br />❑ �G�fi.�L Q�t°�5� 2.�'r�-II�II'0 ��� 8��0�'��°�� ITD�E& � �� (�oa�o' �uc�Co�� m��rnouorr�� <br />Bns�aec��a�: <br />�Da�e: <br />r_in inrnm <br />