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i <br /> INSPECTION REPORT <br /> (4 <br /> Date: + t.'j Permit l�00 Q�� ) <br /> Contractor: <br /> Owner: <br /> Site Address: SIC C2 A-4 <br /> TYPE OF INSPECTION REQUESTED <br /> ELECTRICAL BUILDING MECHANICAL PLUMBING <br /> ❑Temp Service ❑LIFER 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 Nailing ❑Plumbing Final <br /> ❑Electrical Final ❑Shear 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 CONSULTATION: C)pc E N FU(P–L-Z;✓^EFTS— LA-4, . <br /> ❑ APPROVAL ❑ PARTIALAPPROVAL FINAL APPROVAL THIS PERMIT <br /> ❑ OK FOR T.C.O. ❑ CPKRECTION REQUESTED F]❑ OK FOR C.O. IOLATION <br /> ❑ UNABLE TO PERFORM INSPECTION: <br /> ❑ CALL(425)257-8881 FOR REINSPECTION-24 hour notice required <br /> tl C <br /> LG"ck-S rC rl r f c�tG,ar.C Q 0.3P-t yyr% <br /> Al CA <br /> o�-r�c:�e�l I 4�r r c�4� t,� e.� •'�.�c � �Zc,.lJr�i ��.�C k5 <br /> t'P CT CU•1S 'L'+'�-\ g.�r�h� JFsf'wvc.r��tn , � �,rJdH cf <br /> w <br /> t'C�_�7� L� Sit n•�� L�r1 �f.+e.�y� � CC�CI� I;.h�l"'a1t2 <br /> Inspector: Date: i 1 <br /> EIR(4/09) FORMS A PROMO IONS•423,4811 8 91111 <br />