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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 REPOR'� <br />- Date �'� �� Permit: �� � �(''�_'�� <br />�; <br />Contractor: <br />Owner: <br />Site Address: � � _ �� C ( _�/ C'- - - — 1 l�t ��-��" <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 ❑ Framing ❑ Rooftop Units <br />❑ i ❑ Insulation ❑ Mechanical Final <br />Ceiling Gr ❑ Drywall Nailing <br />'cal Fin ❑ Shear Nailing GAS PIPE <br />WORK ❑ Roof Nailing ❑ Rough In/Service <br />U Footing drains ❑ Ceiling Grid ❑ Refrigeration <br />❑ Roo( drains ❑ Building Final ❑ Gas Pipe Final <br />OTHER OR CONSULTATION: <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 />� Rough in <br />❑ HWT Final <br />❑ APPROVAL ❑ PARTIAL APPROVAL FINAL APPROVAL THIS <br />❑ OK FOR T.C.O. ❑ CORRECTION REQUESTED <br />❑ OK FOR C.O. ❑ VIOLATION <br />❑ UNABLE TO PERFORM INSPECTION: <br />❑ CALL (425) 257-8881 FOR REINSPECTION – 24 hour notice required <br />�� - ��%�L — S�FJ� �Q �' - � – <br />Inspector: Date: �/ �� <br />� � <br />r n; ,�� �i„ C� <br />r>n!ni:ni�� ir�c <br />
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