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II���������N ���PC��.��` <br />Datc; i1 ��� Per,�it: � 1�-L' i� - l.� �� <br />Contractor: �'���� � � � l � <br />Own�r _ - � �% � �3 —� - <br />- - '� � - , <br />Site Address: _Z.,��„l � �'��-� <br />� - _ -- -- - — _ _ _ <br />TYPE OF INSPECTION RECIUESTED <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 I� Drywall Nailing ❑ Plumbing Final <br />❑ Electrical Final f� Sh��:ir Nailing GAS PIPE <br />SITE WORK Nailin9 n Rough In/Service Hot Water Tank <br />❑ Footing drains ; (' ' ' <br />❑ Roof drains ,� z +1�rsg �-n <br />OTHER OR CONSULTATION:_ �"� L.,`� I �('�j � I <br />1 <br />❑ PAI; <br />� U. ❑ CORRL-CTION RECIUESTL-L <br />�I VIOLATION <br />JSPECTION: <br />R�INSPECTION - 24 hour notice required <br />�5� � �- 1L/�!� � - <br />v <br />� � <br />>, � �� �� �is <br />