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Site A�dress: <br />ELEC7RICAL <br />❑ Temp Service <br />❑ Groundwork <br />❑ Slab(Conduit <br />❑ Rough In <br />❑ Service <br />❑ Grounding <br />❑ Ceiling Grid <br />❑ E9ecQPic�1 V�ieaaB <br />���pf����.�o� i .� ��`b`� �I.� <br />Date: �C � � s Permit: �i � `I � �Q— � � 1/ <br />Contractor: <br />Owner: <br />TYPE OF INSPECTION REQUES.fE <br />BUILDIfVG MECHAfVICAL <br />❑ UFER ground 0 Groundworl</Slab <br />❑ Footing ❑ Rough In <br />❑ Foundation ❑ Ceiling Grid <br />❑ Structural Slab ❑ OK 4o insulate <br />❑ Frarning � ❑ RooTtop Units <br />❑ Insulation ❑ f��ckaa�rt�ocal �a�aa9 <br />❑ Drywall Nailing � <br />❑ Shear Nailing GAS PIPE <br />SITE WORK ❑ Roof Nailing ❑ P.ough In/Service Hot Water Tank <br />❑ Footing drains ❑ Ceiling Grid ❑ Refrigeration ❑ Rough in <br />❑ Roof drains ❑ C��iOV�BOB➢� F00➢�V ❑ d��� E�u�e �a�v�0 ❑�F�N�" �o�e�@ <br />OTHER OR CONSULTATION:����,� �� �'� � � <br />❑APP�iOVAL ❑ PARTIALAPPROVAL �O�I�,�������q�,�,y'p-pp����;�8u <br />❑ OK FOR T.C.O. ❑ CORRECTION P.EQUESTED <br />❑ OK FOR C.O. ❑ VIOLATIOfV � <br />❑ UNABLE TO PERFORM INSPECTIOfV: <br />❑ �.A6.� (���D 257-��8� ���i 8����8�f�[��5���& � ��s Go��P �aoQo�� P��u�a���l <br />.� <br />� ��� d L�-���� ---- <br />PLUMBING <br />❑ Groundworlc/Slab <br />❑ Rough In <br />❑ Ceiling Grid <br />❑ OK io insulate <br />❑ Water Service <br />❑ Medical Gas <br />❑ �Oaaura9aooag �i�o�B <br />� <br />a�,S���co�: <br />r_�n ininm <br />