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Sit� Adc;ress <br />ELECTRICNL UILDING MECHANICAL PL� � <br />❑ Temp Serv�c c ] UFER ground ❑ Groundwork/Slab ❑ Gr <br />❑ Groundwork �] Footing ❑ Rough In ❑ Ro <br />❑ Slab/Conduit ❑ Foundation ❑ Ceiling Grid ❑ Cel l,_; �_ <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 n Rough In/Service Hot Water Tank <br />❑ Footing drafns ! � �:: � ���, �'�rni ! ' �, ❑ Rough In <br />❑ Roof drains _ ' ❑ HWT Final <br />�� O SULTl��i �. ��i, �V l/I ��V��'V W <br />fZOVAL <br />�� OR T.C.O. � I;OI�Y.'tG I tON RE(.�U'tS I t i. <br />"OR C.O ❑ VIOLATION <br />, '?FORM INSPECTION: <br />-,�41 �t1R .RFI�lS�'�r�Fir�{,i _ <br />I���E��'��N I���P01t�` <br />Dat�:�. ���� — Permi'� � � U�` - �- � <br />,- ;_ ., � 1�.���C� � ,�. <br />�un�� ac,�c, _ <br />_ _ - -- <br />-- - <br />�� .— . `�����" �f/V -I ��_. . <br />��� �� � �� �� <br />� TYPE OF INSPECTION REQUESTED <br />� �i�0 c/E /� b� � 4��0 <br />_ _ <br />�d ��-��1�- - - � c� _- � - �� �L_ -�_1� <br />r n/ Gc/ "� ,� - <br />— - � L.�ls � � - - �S',���%_ _ <br />_ ���� �3 n/ � ''�`'_� �G� �� <br />�v ��� �-�� . <br />�i�� ��-� �i� <br />� � �. t��_ __ �/�t/L- /-r j �✓_� �� �E / r��S"�G��� <br />�' " '�` ����� <br />s <br />