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Date: - Permd t: <br /> ��I 5 ri r�CZI <br /> Contractor: <br /> Owner: <br /> Site Address: !/(7 L4 411'P <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 <br /> El Rough In ❑Structural Slab El Ceiling Grid <br /> ❑ OK to insulate ❑OK:o insulate <br /> El Service ❑Framing ElRooftop Units ❑Water Service <br /> ❑Grounding ❑Insulation ❑ff echanlcap Fiuial ❑ Medical Gas <br /> ❑Ceiling Grid ❑Drywall Nailing <br /> ❑PAuPWbBB➢g Fha� <br /> ❑Mocliftall Finall ❑Shear Nailing GAS PIPE <br /> SITE WORK ❑Roof Nailing u h In/Service Hot Water Tank <br /> ❑Footing drains ❑Ceilinc Ref 7- ra r El Rough In <br /> ❑Roof drains ng Fina ll �{ �❑Gas PDPe Fiona➢ HWT Flnap <br /> OTHER OR CONSULTA ON: <br /> ❑APPROVAL PAM AL APPROVAL THiiS PERWT <br /> ❑ OK FOR T.0 RECTION REQUESTED <br /> ❑ OK FOR C ❑ VIOLATION <br /> ❑ UNABLE 7O PER1 0 <br /> ❑ CALL(Q2 257-6801 F R[ EWSPECT[10N-24 0 outr nuUca required <br /> din A Al <br /> I <br /> Cos <br /> �j <br />