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a: <br />. � . . � .. <br />[����t��: _�� �� � ��_ Permit � l��-I �_ ��--- <br />Coniractor: <br />Owner. ��� — --- — -- — -- <br />r'�], -� n �(�. � <br />Site Address: �__'l � _ �`-- ._�_��I __`1�J� _ _ — ___ __ _ —__ <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 S�r,;ctural Slab ❑ OK to insulate ❑ OK to insulate <br />❑ Service ,ming ❑ Rooftop Units ❑ Water Service <br />❑ Groundiny ' lu:,�,�1 �tion ❑ Mechanical Final ❑ Medical Gas <br />❑ Ceiling Grid I' D�;�;v,�ll Nailing ❑ Plumbing Final <br />❑ Electrical Final U Sliear Nailing GAS PIPE <br />SITE WORK ❑ Roof Nailing �J Rough In/Service Hot Water Tank <br />❑ Footing drains [) Ceiling Grid f] Refrigeration �] Rough In <br />❑ Roof drains �l B�iilr�i::r, ,�tir�a9 I C=s Pi��e ��nal I] HWT Final <br />OTHER OR CONSULTATI�'-���� ��—��_I� _�1 �����_ _ <br />n APPROVAL � , ,�� �,��� '� I'��:;( , ';��.. ',�;.�r�L ,�,r"PROVAL THIS PERMIT <br />� !�f< FOR T.C.O. U CORRECTION REQU� � �� � �� � <br />C)K FOR C O. ❑ VIOLAT�ON <br />E TO PERFORM INSPECTION: <br />. rit.��1 ?�7.4Fc�' � ' . �e.,oc.n.�CT!(1�� . 7in ,.., .-� . `�@ �BC�UI�@C� <br />� - - - -- —_ _ _ � .. <br />��2'� �LI�� Ul1( �J / / F -- <br />._.__. .. <br />rn� ,��w-� . a-�- _ s � c � n���. P�.a�s <br />�-_� ?- % 3 <br />