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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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INSPECTION REPORT <br />Date lU ( � <br />Contractor: �� <br />Permit: �jl��� V � 1 <br />� � 1UW `J <br />Owner: <br />Site Address: C1 � K� ��\�� C, �� <br />TYPE OF INSPECTION REQUESTED <br />ELECTRICAL BUILDING MECHANICAL <br />❑ Temp Service ❑ UFER ground ❑ Groundwork/Slab <br />❑ Groundwork ❑ Footing ❑ Rough In <br />❑ Slab/Conduit ❑ Foundation ❑ Ceiling Grid <br />❑ Rough In ❑ Structural Slab ❑ OK to insulate <br />❑ Service �aming ❑ Rooftop Units <br />❑ Grounding ❑ Insulation ❑ Mechanical Final <br />❑ Ceiling Grid ❑ Drywall Nailing <br />❑ Electrical Final ❑ Shear Nailing GAS PIPE <br />SITE WORK ❑ Roof Nailing ❑ Rough In/Service <br />❑ Footing drains ❑ Ceiling Grid ❑ Refrigeration <br />❑ Roof drains ❑ Building Final ❑ Gas Pipe Final <br />PLUMBING <br />❑ Groundwork/Slab <br />❑ Rough In <br />❑ Ceiling Grid <br />❑ OK to insulate <br />❑ Water Service <br />❑ Medical Gas <br />❑ Plumbing Final <br />Hot Water Tank <br />❑ Roughin <br />❑ HWT Final <br />OTHER OR CONSULTATION: <br />❑ APPROVAL %'�PARTIAL APPROVAL FINAL APPROVAL THIS PERMIT <br />❑ OK FOR T.C.O. '� J�ORRECTION REQUESTED ❑ <br />❑ OK FOR C.O. ❑ VIOLATION <br />❑ UNABLE TO PERFORM INSPECTION: <br />n CALL (425) 257-8881 FOR REINSPECTION - 24 hour notice required <br />- - - - - - - - - -'I :- - - <br />-- 11 � � _ �d_ �f' ln/''� 1l s iry- - - - - - - - - <br />� � _ - j_—�,tr,���—�v_���c�_�_p� <br />_ � ( e'? � ►' ' D 17 .� — -- <br />�z� � f �v_�- - _- -'_ --_ _ - - - - - - <br />Inspector: <br />eu+ ��orob� <br />- Date: � � � � /� - <br />onrn�nR. irvc <br />
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