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INSPECTION REPORT <br /> Date: , I Permit: <br /> Contractor* l <br /> Owner: vo/ V ' (L4W 1 <br /> Site Address: <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 ❑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 NaijbgL ❑Plumbing Final <br /> ❑Electrical Final [:1 S ear Nailing GAS PIPE <br /> SITE WORK ❑Roof Nailing ❑Rough In/Service Hot Water Tank <br /> ❑Footing drains ❑Ceiling Grid ❑Refrigeration ❑ Rough In <br /> ❑Roof drains ❑Building Final ❑Gas Pipe Final ❑HWT Final <br /> OTHER OR�yOt .SULTATION: <br /> jitIT—PROVAL ❑ PARTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ OK FOR T.C.O. ❑ CORRECTION REQUESTED <br /> E] OK <br /> OK FOR C.O. ❑ VIOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> IV - yU�/�r L �✓�� <br /> 45 <br /> Inspector: p' 1 Date: <br /> ESR('1/nc)l 4L-'NAT72E FORMS&PROMOTIONS 425/488-8900 <br />