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916 PACIFIC AVE FAIRFAX HOSPITAL 2016-10-04
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916 PACIFIC AVE FAIRFAX HOSPITAL 2016-10-04
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Last modified
1/13/2017 1:56:47 AM
Creation date
10/4/2016 11:10:53 AM
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Template:
Address Document
Street Name
PACIFIC AVE
Street Number
916
Tenant Name
FAIRFAX HOSPITAL
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Site Address __ <br />ELECTRICAL <br />❑ Temp Service <br />❑ Groundwork <br />❑ Slab/Conduit <br />❑ Rough In <br />❑ Service <br />❑ Grounding <br />❑ Ceiling Grid <br />❑ Electrical F6nal <br />SITE WORK <br />❑ Footing drains <br />❑ Roof drains <br />IIVSPECil0�11 REPORT <br />Date �/ I r-�' Permit: f� �''� �� �Q � <br />l '� <br />� N i� �i. I � C� �'--�� <br />Contractor: .� — <br />Owner: r�i, �� o X, �'��7 y�h,' <br />.. � � <br />-�C�i � l (� �� ��L-c �i L - - J <br />TYPE OF INSPECTION REQUESTED <br />BUILDING MECHANICAL PLUMBING <br />❑ UFER ground ❑ Groundwork/Slab ❑ Groundwork/Slab <br />❑ Footing ❑ Rough In ❑ Rough In <br />❑ Foundation ❑ Ceiling Grid ❑ Ceiling Grid <br />tructural Slab ❑ OK to insulate ❑ OK to insulate <br />ming ❑ Rooftop Units ❑ Water Service <br />n ulation ❑ Mechanical Final ❑ Medical Gas <br />� ywall Nailing ❑ Plumbing Final <br />� Shear Nailing GAS PIPE <br />�] Roof Nailing ❑ Rough In/Service Hot Water Tank <br />❑ Ceiling Grid ❑ Refrigeration [ � Rough in <br />❑ Building Final � � Gas Pipe Final � I HWT Final <br />OTHER OR CONSULTATION: LC�U/ �`✓� � v I / <br />❑ APPROVAL /1RTIAL APPROVAL FINAL APFIROVAL THIS PERMIT <br />❑ OK FOR T.C.O. � � C RFiECTION REQUESTED ❑ <br />❑ OK FOR C.O. U VIOLATION <br />❑ UNABLE TO PERFORM INSPECTION: <br />�l CALL (425) 257-8881 FOR REINSPECTION — 24 hour notice required <br />— — � / � i� � - �+ �! _ K� � � ��_7 <br />- �� 1�( � '�.' <br />Inspector: _ <br />f-Ili 110�uG1 <br />f�' 17��'?_S� <br />��i �- <br />� <br />Date: <br />,� --1 �-- <br />-�_ <br />onin�nr iN : <br />
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